This log is also available as text (239ac.txt) and as a (binary) annotation file (239ac.log).
Generated: Thursday, 23-Apr-2009 00:36:13 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 10/10/2013] el: 0 cg: LCP cu: LCP at MIT n1: 21
id: BSA t0: [13:51:00 10/10/2013] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [13:51:00 10/10/2013] el: 1032 cg: -1 cu: CCU id: Allergy 1 t0: [13:51:00 10/10/2013] el: 1020 cg: -1 cu: CCU v1: Penicillins id: Diagnosis/op t0: [13:51:00 10/10/2013] el: 1023 cg: -1 cu: CCU v1: CONGESTIVE HEART FAILURE id: Service t0: [13:51:00 10/10/2013] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [13:51:00 10/10/2013] el: 1034 cg: -1 cu: CCU id: Readmission t0: [13:51:00 10/10/2013] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [13:51:00 10/10/2013] el: 1006 cg: -1 cu: CCU v1: D id: Religion t0: [13:51:00 10/10/2013] el: 1000 cg: -1 cu: CCU v1: JEW id: Allergy 2 t0: [13:51:00 10/10/2013] el: 1021 cg: -1 cu: CCU id: Ext t0: [13:51:00 10/10/2013] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [13:51:00 10/10/2013] el: 1022 cg: -1 cu: CCU
id: Daily Weight el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494
id: Daily Weight t0: [14:30:00 10/10/2013] el: 0 cg: CoWker cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd
id: Dorsal PedPulse R/L el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Ectopy Frequency el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Ectopy Type el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Eye Opening el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: GCS Total el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: HOB el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Heart Rate el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Heart Rhythm el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Abdominal Assessment el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Activity el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Activity Tolerance el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: LLL Lung Sounds el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: LUL Lung Sounds el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Level of Conscious el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Motor Response el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: NBP el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: NBP Mean el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: O2 Delivery Device el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Oral Cavity el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Orientation el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: AntiEmbDevice/Status el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Pain Location el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Position el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: PostTib. Pulses R/L el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Assistance Device el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Precautions el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Previous WeightF el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: RLL Lung Sounds el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: RUL Lung Sounds el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Respiratory Pattern el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Respiratory Rate el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Restraint Location el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: SpO2 el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Stool Guaiac el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Support Systems el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Temp. Site el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Temperature C (calc) el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Temperature F el: 0 t0: [14:30:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4494 id: Turn el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Urine Source el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Verbal Response el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: calprevflg el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Behavior el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464 id: Bowel Sounds el: 0 t0: [15:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4464
id: Dorsal PedPulse R/L t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Poor st: NotStopd id: LLL Lung Sounds t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 51.3333 n1: 51.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 51.3333 n1: 51.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: SpO2 t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Guaiac t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Turn t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [15:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: O2 Flow (lpm) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Previous Weight el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Fingerstick Glucose el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: Ectopy Frequency t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: O2 Delivery Device t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 178 n1: 178 rs: Manual st: NotStopd
id: Urine Out Void el: 1 t0: [17:00:00 10/10/2013] tf: [01:00:00 11/10/2013] cu: CCU dt: 480
id: Po Intake t0: [17:00:00 10/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Void t0: [17:00:00 10/10/2013] el: 1 cg: RN cu: CCU vo: 350 vu: ml id: Urine Out Incontinent t0: [17:00:00 10/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Large
id: INR (2-4 ref. range) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: PT(11-13.5) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: PTT(22-35) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: INR (2-4 ref. range) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: PT(11-13.5) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 24.6 n1: 24.6 rs: Final st: NotStopd id: PTT(22-35) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd
id: Hematocrit el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Hemoglobin el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Platelets el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: RBC el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: WBC (4-11,000) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: Hematocrit t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 19.8 n1: 19.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 6.5 n1: 6.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 221 n1: 221 rs: Final st: NotStopd id: RBC t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 2.33 n1: 2.33 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd
id: BUN (6-20) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: CPK el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Carbon Dioxide el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Chloride (100-112) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Creatinine (0-1.3) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Glucose (70-105) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Potassium (3.5-5.3) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Sodium (135-148) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: BUN (6-20) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 88 n1: 88 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd
id: Ectopy Frequency t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: NBP t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 38.6667 n1: 38.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 44.6667 n1: 44.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Temp. Site t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 204 n1: 204 rs: Manual st: NotStopd
id: Hematocrit t0: [20:03:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: 17.9 n1: 17.9 u1: % rs: Final st: NotStopd
id: CPK/MB el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Troponin el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: Troponin t0: [17:00:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: no data rs: Final st: NotStopd
id: Blood Products el: 0 t0: [20:55:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4109
id: Blood Products t0: [20:55:00 10/10/2013] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd
id: Code Status el: 0 t0: [21:45:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4059
id: Code Status t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Precautions t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Temp. Site t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [21:45:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake el: 1 t0: [18:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4284 id: Urine Out Foley el: 1 t0: [20:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4164
id: Po Intake t0: [18:00:00 10/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Washed PRBC's t0: [21:00:00 10/10/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [20:00:00 10/10/2013] el: 1 cg: RN cu: CCU vo: 800 vu: ml id: Urine Out Foley t0: [21:45:00 10/10/2013] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
id: Skin Integrity el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Activity el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Frict/Shear el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Mobility el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Moisture el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Nutrition el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden Score el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044 id: Braden SensoryPercep el: 0 t0: [22:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4044
id: Code Status t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 45.6667 n1: 45.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: calprevflg t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Braden Activity t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 10/10/2013] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 100.0ml el: 1 t0: [18:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4284
id: D5W 100.0ml t0: [18:00:00 10/10/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: 0 cv: 250 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: 0 cv: 370 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [22:30:00 10/10/2013] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Total Hourly Output t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: 200 cv: 1470 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: -200 cv: -1100 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: -200 cv: -1100 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: -200 cv: -200 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/10/2013] el: 1 cg: RN cu: CCU pv: 200 cv: 1470 ac: 24 ap: carryForward re: 0
id: Diet Type el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV #1 Insert Date el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV #1 Site/Size el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV #2 Insert Date el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV #2 Site/Size el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV Site Appear #1 el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: IV Site Appear #2 el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924 id: Urine Color/Appear el: 0 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924
id: Code Status t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 44.6667 n1: 44.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Washed PRBC's el: 1 t0: [00:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3924
id: D5W 100.0ml t0: [00:00:00 11/10/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Washed PRBC's t0: [00:00:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 375 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [00:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: Urine Out Void t0: [01:00:00 11/10/2013] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd id: Urine Out Incontinent t0: [01:00:00 11/10/2013] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Code Status t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: NBP t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 221 n1: 221 rs: Manual st: NotStopd
id: Urine Out Foley t0: [01:30:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Code Status t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: NBP t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP Mean t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 42.6667 n1: 42.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Washed PRBC's t0: [02:45:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 375 vu: ml uu: Units
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 5 ru: ml/hr
id: Code Status t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: IV #1 Insert Date t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Site/Size t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 49.3333 n1: 49.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [02:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temperature C (calc) t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Turn t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 1 t0: [03:30:00 11/10/2013] tf: [20:00:00 11/10/2013] cu: CCU dt: 990
id: .9% Normal Saline 1000.0ml t0: [03:30:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [03:30:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Hematocrit t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 20 n1: 20 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 6.9 n1: 6.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: RBC t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 5.2 n1: 5.2 rs: Final st: NotStopd
id: Code Status t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [03:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 49.3333 n1: 49.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [03:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous Weight t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INR (2-4 ref. range) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: PTT(22-35) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd
id: BUN (6-20) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
id: Code Status t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 45.3333 n1: 45.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 7.5 vu: ml id: Fresh Frozen Plasma t0: [05:00:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: Urine Out Foley t0: [05:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Code Status t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature C (calc) t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Code Status t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 44.6667 n1: 44.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 47.6667 n1: 47.6667 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 450 vu: ml
id: Code Status t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diet Type t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Abdominal Assessment t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LUL Lung Sounds t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RUL Lung Sounds t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Bowel Sounds t0: [08:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Washed PRBC's t0: [08:00:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: Washed PRBC's t0: [08:30:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: Weight Change el: 0 t0: [10:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 3324
id: Code Status t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Weight Change t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 475 vu: ml
id: Glucose (70-105) t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd
id: LLL Lung Sounds t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: RLL Lung Sounds t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd
id: Eye Opening t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Stool Guaiac t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Verbal Response t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Stool Out Stool t0: [10:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Po Intake t0: [10:00:00 11/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml
id: Urine Out Foley t0: [11:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: D5W 100.0ml t0: [11:00:00 11/10/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Code Status t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 285 vu: ml
id: Fingerstick Glucose t0: [13:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Hematocrit t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd
id: Creatinine (0-1.3) t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd
id: NBP t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 113 n1: 113 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 11/10/2013] el: 0 cg: CoWker cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [14:00:00 11/10/2013] el: 1 cg: CoWker cu: CCU vo: 450 vu: ml
id: INR (2-4 ref. range) t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [13:30:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 29.8 n1: 29.8 rs: Final st: NotStopd
id: Code Status t0: [14:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Precautions t0: [14:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd
id: Stool Out Stool t0: [11:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [12:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [14:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Small
id: Stool Out Stool t0: [15:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Urine Out Foley t0: [15:30:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: Code Status t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:10:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Washed PRBC's t0: [12:30:00 11/10/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 375 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 1500 ac: 24 ap: none re: 0
id: Procedures el: 0 t0: [16:15:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2949
id: Code Status t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Procedures t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Endoscopy st: NotStopd id: Respiratory Rate t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [16:15:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:20:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:25:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:30:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Alk. Phosphate el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: LDH el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344 id: Total Bili (0-1.5) el: 0 t0: [17:00:00 10/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 4344
id: Code Status t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 58.3333 n1: 58.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 57.3333 n1: 57.3333 u1: mmHg st: NotStopd id: Precautions t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [16:35:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:40:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 290 vu: ml
id: Fingerstick Glucose t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Blood Products t0: [18:46:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd
id: CVP el: 0 t0: [18:30:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2814 id: PAP Mean el: 0 t0: [18:30:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2814 id: PAP S/D el: 0 t0: [18:30:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2814 id: PCWP el: 0 t0: [18:30:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2814
id: CVP t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PCWP t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [18:59:00 11/10/2013] el: 1033 cg: -1 cu: CCU v1: 2.28633 n1: 2.28633 u1: m2 id: Admit Wt t0: [18:59:00 11/10/2013] el: 1032 cg: -1 cu: CCU v1: 105.8 n1: 105.8 u1: kg id: Allergy 1 t0: [18:59:00 11/10/2013] el: 1020 cg: -1 cu: CCU v1: Penicillins id: Diagnosis/op t0: [18:59:00 11/10/2013] el: 1023 cg: -1 cu: CCU v1: CONGESTIVE HEART FAILURE id: Service t0: [18:59:00 11/10/2013] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [18:59:00 11/10/2013] el: 1034 cg: -1 cu: CCU v1: 66 n1: 66 u1: inches id: Readmission t0: [18:59:00 11/10/2013] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:59:00 11/10/2013] el: 1006 cg: -1 cu: CCU v1: D id: Religion t0: [18:59:00 11/10/2013] el: 1000 cg: -1 cu: CCU v1: JEW id: Allergy 2 t0: [18:59:00 11/10/2013] el: 1021 cg: -1 cu: CCU id: Ext t0: [18:59:00 11/10/2013] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:59:00 11/10/2013] el: 1022 cg: -1 cu: CCU
id: O2 Delivery Device t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:30:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Hematocrit t0: [20:27:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 27.4 n1: 27.4 u1: % rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [20:28:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [20:28:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CCU ra: 10 ru: ml/hr
id: INV Line#1 Type/Site el: 0 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664 id: INV Line#1 Zero/Cal el: 0 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664 id: INV Line#1InsertDate el: 0 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664 id: INV Line#1SiteAppear el: 0 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664 id: Mixed Venous O2% Sat el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724
id: CVP t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diabetic st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Eye Opening t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Insert Date t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Insert Date t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Insert Date t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PAP Mean t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Skin Integrity t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Turn t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Mixed Venous O2% Sat t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 rs: Manual st: NotStopd id: Braden Activity t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: C.O. (fick) el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724
id: C.O. (fick) t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 7.82489 n1: 7.82489 u1: L/min st: NotStopd
id: CVP t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: NBP t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 1 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664 id: .9% Normal Saline 1000.0ml el: 2 t0: [21:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2664
id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Magnesium (1.6-2.6) el: 0 t0: [20:27:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2697
id: BUN (6-20) t0: [20:27:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:27:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:27:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:27:00 11/10/2013] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd
id: CVP t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 11/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Po Intake t0: [22:00:00 11/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: CVP t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: PAP Mean t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Stool Out Stool t0: [20:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Stool t0: [21:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Large id: Stool Out Stool t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Foley t0: [00:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 230 vu: ml id: Urine Out Foley t0: [22:00:00 11/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: Urine Out Foley t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU vu: ml
id: IV Infusion In Total t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU pv: 40 cv: 227.5 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 660 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU pv: 40 cv: 2367.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 2215 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 640 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 24 ap: estimateVol re: 0 id: Total Hourly Output t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: estimateVol re: 0 id: Total Hourly Output t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 4900 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 4970 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU pv: 40 cv: -2532.5 ac: 24 ap: estimateVol re: 0 id: 24h Net Body Balance t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: -2755 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU pv: 40 cv: -5132.5 ac: multiple days ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: -8262.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU pv: 40 cv: 40 ac: 1 ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/10/2013] el: 1 cg: RN cu: CCU cv: 4900 ac: 24 ap: estimateVol re: 0 id: 24h Total Out t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 4970 ac: 24 ap: carryForward re: 0
id: PCWP t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd
id: Cardiac Index el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: PVR el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: PVRI el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: RCW el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: RCWI el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: RVSW el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: RVSWI el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: SVI el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: SVR el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: SVRI el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724 id: Stroke Volume el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724
id: Cardiac Index t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 3.40611 n1: 3.40611 u1: ... st: NotStopd id: PVR t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 143.59 n1: 143.59 u1: ... st: NotStopd id: PVRI t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 328.446 n1: 328.446 u1: ... st: NotStopd id: RCW t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 4.87968 n1: 4.87968 u1: kg * m st: NotStopd id: RCWI t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 2.131 n1: 2.131 u1: ... st: NotStopd id: RVSW t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 95.7168 n1: 95.7168 u1: g * m st: NotStopd id: RVSWI t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 41.7904 n1: 41.7904 u1: g*m/m2 st: NotStopd id: SVI t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 66.8122 n1: 66.8122 u1: ... st: NotStopd id: SVR t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 615.385 n1: 615.385 u1: ... st: NotStopd id: SVRI t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 1407.62 n1: 1407.62 u1: ... st: NotStopd id: Stroke Volume t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: 152.941 n1: 152.941 u1: ml st: NotStopd
id: C.O.(thermodilution) el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724
id: CVP t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diabetic st: NotStopd id: Heart Rate t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 52.3333 n1: 52.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PAP Mean t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Source t0: [00:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Side Rails el: 0 t0: [20:00:00 11/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2724
id: CVP t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diabetic st: NotStopd id: Heart Rate t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 58.3333 n1: 58.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PAP Mean t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Precautions t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 11/10/2013] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: CVP t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: PAP Mean t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 150 vu: ml
id: Hematocrit t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 26.7 n1: 26.7 u1: % rs: Final st: NotStopd
id: Calcium (8.4-10.2) el: 0 t0: [06:00:00 12/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2124 id: Phosphorous(2.7-4.5) el: 0 t0: [06:00:00 12/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 2124
id: BUN (6-20) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 86 n1: 86 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 74 n1: 74 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Mixed Venous O2% Sat t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 70 n1: 70 rs: Manual st: NotStopd
id: Cardiac Index t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 3.49345 n1: 3.49345 u1: ... st: NotStopd id: SVR t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 370 n1: 370 u1: ... st: NotStopd id: SVRI t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 848.138 n1: 848.138 u1: ... st: NotStopd id: C.O. (fick) t0: [06:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8.00073 n1: 8.00073 u1: L/min st: NotStopd
id: CVP t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP Mean t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 55.6667 n1: 55.6667 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Precautions t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: PAP Mean t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PCWP t0: [09:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd
id: Ectopy Frequency t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 49.6667 n1: 49.6667 u1: mmHg st: NotStopd id: Previous WeightF t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:30:00 12/10/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:30:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:30:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [10:30:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: CVP t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: PAP S/D t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: PCWP t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [12:15:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [11:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Po Intake t0: [12:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Stool Out Stool t0: [11:00:00 12/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Stool t0: [11:30:00 12/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Stool t0: [12:00:00 12/10/2013] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [12:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 180 n1: 180 rs: Manual st: NotStopd
id: Urine Out Foley t0: [12:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: Urine Out Foley t0: [12:30:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: CVP t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP S/D t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PCWP t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Previous WeightF t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cardiac Index t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 3.18777 n1: 3.18777 u1: ... st: NotStopd id: NBP t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: SVR t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 734.247 n1: 734.247 u1: ... st: NotStopd id: SVRI t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1680.25 n1: 1680.25 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 rs: Manual st: NotStopd id: C.O. (fick) t0: [13:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 7.27339 n1: 7.27339 u1: L/min st: NotStopd
id: CVP t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: NBP t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PAP S/D t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 1000 vu: ml
id: CVP t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PAP Mean t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: Precautions t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Po Intake t0: [16:30:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:30:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:30:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [16:30:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 750 vu: ml
id: Hematocrit t0: [17:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 32.5 n1: 32.5 u1: % rs: Final st: NotStopd
id: Po Intake t0: [18:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Washed PRBC's t0: [16:00:00 12/10/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 375 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Potassium (3.5-5.3) t0: [17:00:00 12/10/2013] el: 0 cg: 140 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: CVP t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PAP Mean t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Pattern t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Verbal Response t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [18:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Ectopy Frequency t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Previous WeightF t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Temp. Site t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: Po Intake t0: [20:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: Fingerstick Glucose t0: [20:45:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: CVP t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: PAP Mean t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: PCWP t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: SpO2 t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd
id: CVP t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: NBP t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 12/10/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 12/10/2013] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Po Intake t0: [22:00:00 12/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 160 vu: ml
id: PO/Gastric In Total t0: [23:00:00 12/10/2013] el: 1 cg: RN cu: CCU cv: 1180 ac: 24 ap: none re: 0
id: CVP t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: PAP Mean t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: PAP S/D t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Precautions t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [22:30:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [23:05:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:05:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Previous WeightF t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [23:05:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CVP t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: PAP Mean t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: PCWP t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 13/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 340 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 1520 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 1180 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 2020 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: -500 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: -8762.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/10/2013] el: 1 cg: RN cu: CCU cv: 2020 ac: 24 ap: none re: 0
id: Family Communication el: 0 t0: [00:00:00 13/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 1044
id: Eye Opening t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: LLL Lung Sounds t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [22:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 3way Foley st: NotStopd id: Verbal Response t0: [20:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Braden Activity t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Cardiac Index t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 4.23581 n1: 4.23581 u1: ... st: NotStopd id: PVR t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 140.206 n1: 140.206 u1: ... st: NotStopd id: PVRI t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 320.755 n1: 320.755 u1: ... st: NotStopd id: RCW t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 7.12368 n1: 7.12368 u1: kg * m st: NotStopd id: RCWI t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 3.10917 n1: 3.10917 u1: ... st: NotStopd id: RVSW t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 94.7376 n1: 94.7376 u1: g * m st: NotStopd id: RVSWI t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 41.3537 n1: 41.3537 u1: g*m/m2 st: NotStopd id: SVI t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 56.3319 n1: 56.3319 u1: ... st: NotStopd id: SVR t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 577.32 n1: 577.32 u1: ... st: NotStopd id: SVRI t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1320.75 n1: 1320.75 u1: ... st: NotStopd id: Stroke Volume t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 129.333 n1: 129.333 u1: ml st: NotStopd id: Mixed Venous O2% Sat t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 75 n1: 75 rs: Manual st: NotStopd id: C.O. (fick) t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 9.70997 n1: 9.70997 u1: L/min st: NotStopd
id: CVP t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: RLL Lung Sounds t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 191 n1: 191 rs: Manual st: NotStopd
id: CVP t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Previous WeightF t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 13/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: CVP t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [02:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PAP Mean t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Previous WeightF t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 290 vu: ml
id: Code Status t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: NBP t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd
id: INV Line#1 Type/Site t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 17 n2: 17 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 v2: 16 n2: 16 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 12/10/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Heart Rate t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Previous WeightF t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Temp. Site t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 101.5 n1: 101.5 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: CVP t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Heart Rate t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 109.333 n1: 109.333 u1: mmHg st: NotStopd id: PAP Mean t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: PAP S/D t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Previous WeightF t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:30:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Previous WeightF t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 105.8 n1: 105.8 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 13/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 270 vu: ml
id: Hematocrit t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd
id: Albumin (>3.2) el: 0 t0: [06:00:00 13/10/2013] tf: [17:24:00 13/10/2013] cu: CCU dt: 684
id: Albumin (>3.2) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 13/10/2013] el: 0 cg: 140 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: CVP t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: PAP Mean t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: PCWP t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Previous Weight t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Weight Change t0: [09:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd
id: CVP t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: PCWP t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: calprevflg t0: [12:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 13/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Po Intake t0: [12:00:00 13/10/2013] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/10/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/10/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 13/10/2013] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Code Status t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Temp. Site t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: calprevflg t0: [15:00:00 13/10/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
ci: 45 t0: [13:39:00 10/10/2013] cu: CCU de: Regular ward dt: 4545
id: SAPS-I t0: [00:00:00 10/11/2013] el: 0 cg: LCP cu: LCP at MIT n1: 9
id: BSA t0: [12:12:00 10/11/2013] el: 1033 cg: -1 cu: CCU v1: 2.28633 n1: 2.28633 u1: m2 id: Admit Wt t0: [12:12:00 10/11/2013] el: 1032 cg: -1 cu: CCU v1: 105.8 n1: 105.8 u1: kg id: Allergy 1 t0: [12:12:00 10/11/2013] el: 1020 cg: -1 cu: CCU v1: Penicillins id: Diagnosis/op t0: [12:12:00 10/11/2013] el: 1023 cg: -1 cu: CCU v1: GI BLEED id: Service t0: [12:12:00 10/11/2013] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [12:12:00 10/11/2013] el: 1034 cg: -1 cu: CCU v1: 66 n1: 66 u1: inches id: Readmission t0: [12:12:00 10/11/2013] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [12:12:00 10/11/2013] el: 1006 cg: -1 cu: CCU v1: D id: Religion t0: [12:12:00 10/11/2013] el: 1000 cg: -1 cu: CCU v1: JEW id: Allergy 2 t0: [12:12:00 10/11/2013] el: 1021 cg: -1 cu: CCU id: Ext t0: [12:12:00 10/11/2013] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [12:12:00 10/11/2013] el: 1022 cg: -1 cu: CCU
id: Ectopy Frequency el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: Ectopy Type el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: Heart Rate el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: Heart Rhythm el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: NBP el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: NBP Mean el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: O2 Delivery Device el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: O2 Flow (lpm) el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: Respiratory Rate el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: SpO2 el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520 id: calprevflg el: 0 t0: [12:55:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 520
id: Ectopy Frequency t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP Mean t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 57.3333 n1: 57.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Respiratory Rate t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Level of Conscious el: 0 t0: [13:00:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 515 id: Orientation el: 0 t0: [13:00:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 515
id: Ectopy Frequency t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Level of Conscious t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: NBP Mean t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Orientation t0: [13:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Respiratory Rate t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: NBP Mean t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 46.6667 n1: 46.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Respiratory Rate t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Level of Conscious t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: NBP t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP Mean t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48.3333 n1: 48.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48.3333 n1: 48.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Orientation t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Respiratory Rate t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Significant Events el: 0 t0: [13:00:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 515
id: Ectopy Frequency t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: NBP t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP Mean t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: NBP Mean t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 43.3333 n1: 43.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: NBP t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: NBP Mean t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45.6667 n1: 45.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 40.6667 n1: 40.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45.3333 n1: 45.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:55:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 2 t0: [13:30:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 485 id: Urine Out Foley el: 1 t0: [14:00:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 455
id: .9% Normal Saline 1000.0ml t0: [13:30:00 10/11/2013] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [14:00:00 10/11/2013] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 200 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 200 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 120 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 80 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 80 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/11/2013] el: 1 cg: RN cu: -1 cv: 120 ac: 24 ap: none re: 0
id: Ectopy Frequency t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rate t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: NBP Mean t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 40.3333 n1: 40.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [14:05:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rate t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rate t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rate t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: NBP t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: NBP t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: NBP Mean t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: NBP Mean t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: NBP Mean t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 43.6667 n1: 43.6667 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:15:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:25:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temperature C (calc) el: 0 t0: [14:45:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 410 id: Temperature F el: 0 t0: [14:45:00 10/11/2013] tf: [21:35:00 10/11/2013] cu: CCU dt: 410
id: Ectopy Frequency t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [14:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [14:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [14:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Mean t0: [14:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: NBP Mean t0: [14:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 44.6667 n1: 44.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 51.3333 n1: 51.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temperature C (calc) t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [14:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:40:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:45:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rate t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP t0: [15:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48.3333 n1: 48.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [15:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 44.6667 n1: 44.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:10:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:20:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heart Rate t0: [15:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rate t0: [15:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rate t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [15:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP t0: [15:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP Mean t0: [15:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 51.6667 n1: 51.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [15:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 48.6667 n1: 48.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 50.3333 n1: 50.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [15:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temperature C (calc) t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: calprevflg t0: [15:30:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:35:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:50:00 10/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
ci: 74 t0: [12:11:00 10/11/2013] cu: CCU de: Regular ward dt: 564
id: SAPS-I t0: [00:00:00 30/06/2014] el: 0 cg: LCP cu: LCP at MIT n1: 18
id: Art.pH el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418 id: Arterial Base Excess el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418 id: Arterial CO2(Calc) el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418 id: Arterial PaCO2 el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418 id: Arterial PaO2 el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418 id: Arterial pH el: 0 t0: [16:48:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24418
id: Art.pH t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:48:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: NBP el: 0 t0: [17:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2940 id: NBP Mean el: 0 t0: [17:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2940 id: Respiratory Rate el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: NBP t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd
id: Urine Out Foley el: 1 t0: [17:00:00 30/06/2014] tf: [01:00:00 12/07/2014] cu: CCU dt: 16320
id: Urine Out Foley t0: [17:00:00 30/06/2014] el: 1 cg: -1 cu: CCU vo: 300 vu: ml
id: FiO2 Set el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: O2 Delivery Device el: 0 t0: [17:00:00 30/06/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 8880 id: O2 Flow (lpm) el: 0 t0: [17:00:00 30/06/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 8880 id: SpO2 el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: FiO2 Set t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: O2 Delivery Device t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd
id: Ectopy Frequency el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Ectopy Type el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Heart Rhythm el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Temp. Site el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Temperature C (calc) el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Temperature F el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: Ectopy Frequency t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Temp. Site t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: Heart Rate el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: calprevflg el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: Heart Rate t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 30/06/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [17:10:00 30/06/2014] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [17:10:00 30/06/2014] el: 1032 cg: -1 cu: CCU v1: 104 n1: 104 u1: kg id: Allergy 1 t0: [17:10:00 30/06/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [17:10:00 30/06/2014] el: 1023 cg: -1 cu: CCU v1: HYPOXIA id: Service t0: [17:10:00 30/06/2014] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [17:10:00 30/06/2014] el: 1034 cg: -1 cu: CCU id: Readmission t0: [17:10:00 30/06/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [17:10:00 30/06/2014] el: 1006 cg: -1 cu: CCU v1: D id: Religion t0: [17:10:00 30/06/2014] el: 1000 cg: -1 cu: CCU v1: JEW id: Allergy 2 t0: [17:10:00 30/06/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [17:10:00 30/06/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [17:10:00 30/06/2014] el: 1022 cg: -1 cu: CCU
id: Pain Present el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Eye Opening el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: GCS Total el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Abdominal Assessment el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Level of Conscious el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Motor Response el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Oral Cavity el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Orientation el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Urine Color/Appear el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Urine Source el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Verbal Response el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Bowel Sounds el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: Pain Present t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Level of Conscious t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Urine Color/Appear t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Micro-Neb Treatment el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: HOB el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: INV Line#1 Type/Site el: 0 t0: [17:00:00 30/06/2014] tf: [04:00:00 09/07/2014] cu: CCU dt: 12180 id: INV Line#1InsertDate el: 0 t0: [17:00:00 30/06/2014] tf: [04:00:00 09/07/2014] cu: CCU dt: 12180 id: INV Line#1SiteAppear el: 0 t0: [17:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2940 id: Activity el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Activity Tolerance el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: LLL Lung Sounds el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: LUL Lung Sounds el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Assistance Device el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: RLL Lung Sounds el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: RUL Lung Sounds el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Respiratory Pattern el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Restraint Location el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Skin Integrity el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Support Systems el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Turn el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Behavior el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406
id: HOB t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Assistance Device t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Restraint Location t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Turn t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Behavior t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd
id: Code Status el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Precautions el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Previous WeightF el: 0 t0: [17:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24406 id: Daily Weight el: 0 t0: [16:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24466
id: Code Status t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [16:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd
id: Code Status t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: NBP t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 30/06/2014] el: 1 cg: RN cu: CCU vo: 440 vu: ml
id: IV #1 Insert Date el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: IV #1 Site/Size el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: IV Site Appear #1 el: 0 t0: [19:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2820 id: Braden Activity el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden Frict/Shear el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden Mobility el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden Moisture el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden Nutrition el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden Score el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286 id: Braden SensoryPercep el: 0 t0: [19:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24286
id: Ectopy Frequency t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rhythm t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: IV #1 Insert Date t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: O2 Delivery Device t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Restraint Location t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Braden Activity t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: BUN (6-20) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: CPK el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Carbon Dioxide el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Chloride (100-112) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Creatinine (0-1.3) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Glucose (70-105) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Potassium (3.5-5.3) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346 id: Sodium (135-148) el: 0 t0: [18:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24346
id: BUN (6-20) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Carbon Dioxide t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 321 n1: 321 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:00:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Level of Conscious t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:00:00 30/06/2014] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: O2 Delivery Device t0: [20:05:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:05:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd
id: FiO2 Set t0: [20:10:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: O2 Delivery Device t0: [20:10:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [20:10:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [20:05:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: % st: NotStopd id: SpO2 t0: [20:10:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd
id: Code Status t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 56.6667 n1: 56.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [22:00:00 30/06/2014] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Family Communication el: 0 t0: [22:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24106
id: Pain Present t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Family Communication t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: HOB t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: IV #1 Insert Date t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: NBP t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Assistance Device t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: RLL Lung Sounds t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: SpO2 t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Turn t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Micro-Neb Treatment t0: [22:00:00 30/06/2014] el: 0 cg: rrt cu: CCU v1: alb/atr st: NotStopd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Arterial BP el: 0 t0: [23:00:00 30/06/2014] tf: [14:00:00 17/07/2014] cu: CCU dt: 23940 id: Arterial BP Mean el: 0 t0: [23:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24046
id: Code Status t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: GCS Total t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Verbal Response t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml el: 1 t0: [20:00:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24226
id: D5W 100.0ml t0: [20:00:00 30/06/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/06/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: 0 cv: 100 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: 0 cv: 100 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: 300 cv: 1660 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: -300 cv: -1560 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: -300 cv: -1560 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: -300 cv: -300 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/06/2014] el: 1 cg: RN cu: CCU pv: 300 cv: 1660 ac: 24 ap: none re: 0
id: SaO2 el: 0 t0: [23:40:00 30/06/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 24006
id: Art.pH t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [23:40:00 30/06/2014] el: 0 cg: 140 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose el: 0 t0: [00:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23986
id: Fingerstick Glucose t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 248 n1: 248 rs: Manual st: NotStopd
id: Code Status t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 1 t0: [00:00:00 01/07/2014] tf: [00:00:00 09/07/2014] cu: CCU dt: 11520
id: D5W 100.0ml t0: [00:00:00 01/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 569.75 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 929.75 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 4870 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: -3940.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: -5500.25 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 4870 ac: 24 ap: none re: 0
id: Ectopy Frequency t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Code Status t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rate t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 01/07/2014] el: 1 ai: 103 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: INV Line#2 Type/Site el: 0 t0: [22:00:00 30/06/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 16200 id: INV Line#2 Zero/Cal el: 0 t0: [22:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2640 id: INV Line#2InsertDate el: 0 t0: [22:00:00 30/06/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 16200 id: INV Line#2SiteAppear el: 0 t0: [22:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2640 id: INV#2 WaveformAppear el: 0 t0: [22:00:00 30/06/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 2640
id: Ectopy Frequency t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Previous WeightF t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: RLL Lung Sounds t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Behavior t0: [22:00:00 30/06/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [03:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Art.pH t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:19:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Code Status t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: HOB t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Turn t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [04:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Micro-Neb Treatment t0: [04:45:00 01/07/2014] el: 0 cg: rrt cu: CCU v1: alb/atr st: NotStopd
id: WBC (4-11,000) el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: Hematocrit el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: Hemoglobin el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: Platelets el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: RBC el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: WBC (4-11,000) el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746
id: WBC (4-11,000) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 311 n1: 311 rs: Final st: NotStopd id: RBC t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 3.63 n1: 3.63 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: Calcium (8.4-10.2) el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: Magnesium (1.6-2.6) el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746 id: Phosphorous(2.7-4.5) el: 0 t0: [04:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23746
id: BUN (6-20) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 182 n1: 182 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Ectopy Frequency t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Previous WeightF t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Code Status t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: FiO2 Set t0: [07:00:00 01/07/2014] el: 0 cg: rrt cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [07:00:00 01/07/2014] el: 0 cg: rrt cu: CCU v1: Hi Flow Neb st: NotStopd
id: Code Status t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Eye Opening t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Support Systems t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Source t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: FiO2 Set t0: [10:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [10:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: alb/atr st: NotStopd id: O2 Delivery Device t0: [10:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: Hi Flow Neb st: NotStopd id: SpO2 t0: [10:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: Code Status t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [11:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Previous Weight el: 0 t0: [11:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23326 id: Weight Change el: 0 t0: [11:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23326
id: Previous Weight t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Weight Change t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [11:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd
id: Lasix io: .9% Normal Saline 100.0ml + 100mghr Lasix el: 100 cg: RN cu: CCU am: 100 du: mghr rt: IV Drip id: Nitroglycerine io: D5W 250.0ml + 100mcgmin Nitroglycerine el: 100 cg: RN cu: CCU am: 100 du: mcgmin rt: IV Drip
id: Code Status t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine el: 1 t0: [13:00:00 01/07/2014] tf: [15:00:00 02/07/2014] cu: CCU dt: 1560 id: .9% Normal Saline 100.0ml + 100mghr Lasix el: 1 t0: [13:00:00 01/07/2014] tf: [08:00:00 04/07/2014] cu: CCU dt: 4020
id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [12:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [13:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [12:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [13:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Lasix el: 1 t0: [12:00:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23266 id: Nitroglycerine el: 1 t0: [12:00:00 01/07/2014] tf: [14:00:00 02/07/2014] cu: CCU dt: 1560
id: Lasix t0: [12:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [12:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Support Systems t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Verbal Response t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: Fingerstick Glucose t0: [09:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 189 n1: 189 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [12:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Code Status t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [14:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [14:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INR (2-4 ref. range) el: 0 t0: [15:10:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23076 id: PT(11-13.5) el: 0 t0: [15:10:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23076
id: INR (2-4 ref. range) t0: [15:10:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:10:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 21.8 n1: 21.8 rs: Final st: NotStopd
id: PTT(22-35) el: 0 t0: [15:10:00 01/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 23076
id: PTT(22-35) t0: [15:10:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd
id: Code Status t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [13:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [14:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [15:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [16:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [16:30:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [15:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [16:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [16:30:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [16:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [15:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [16:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [15:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [16:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [16:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 550 vu: ml
id: BUN (6-20) t0: [15:41:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:41:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:41:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd
id: FiO2 Set t0: [17:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [17:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: ALB/ATR st: NotStopd id: O2 Delivery Device t0: [17:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [17:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd
id: Code Status t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [17:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [17:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Heart Rate t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [18:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9.75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [18:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 450 vu: ml
id: Lasix t0: [18:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [18:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 243 n1: 243 rs: Manual st: NotStopd
id: Po Intake el: 1 t0: [13:00:00 01/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 7680
id: Po Intake t0: [13:00:00 01/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [19:00:00 01/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [19:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [19:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: PO/Gastric In Total t0: [23:00:00 01/07/2014] el: 1 cg: RN cu: CCU cv: 360 ac: 24 ap: none re: 0
id: Code Status t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Assistance Device t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 35.3889 n1: 35.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 95.7 n1: 95.7 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [20:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [20:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Lasix t0: [20:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [20:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [20:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Ectopy Frequency t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Previous WeightF t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Lasix t0: [21:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [21:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 01/07/2014] el: 0 cg: -1 cu: CCU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Code Status t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: HOB t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: O2 Delivery Device t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RUL Lung Sounds t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Turn t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [22:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [22:00:00 01/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Lasix t0: [22:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [22:00:00 01/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:09:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: BUN (6-20) t0: [22:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:00:00 01/07/2014] el: 0 cg: 140 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd
id: Circulation/SkinInt el: 0 t0: [00:00:00 02/07/2014] tf: [18:00:00 02/07/2014] cu: CCU dt: 1080
id: Circulation/SkinInt t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: FiO2 Set t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Level of Conscious t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 01/07/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Apprehensive st: NotStopd id: Bowel Sounds t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 02/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [00:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [00:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Lasix t0: [00:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [00:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 1201 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 1591 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 3780 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: -2189 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: -7689.25 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 3780 ac: 24 ap: none re: 0
id: Ectopy Frequency t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Heart Rate t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: GCS Total t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Turn t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Verbal Response t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 02/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [02:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [02:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Lasix t0: [02:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [02:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Previous WeightF t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Po Intake t0: [00:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: Po Intake t0: [04:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [04:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [04:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: Lasix t0: [04:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [04:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:05:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Ectopy Frequency t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Previous WeightF t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Lasix t0: [05:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [05:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 71 n1: 71 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: SaO2 t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Procedures el: 0 t0: [06:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22186
id: Code Status t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: GCS Total t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Procedures t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: RLL Lung Sounds t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Verbal Response t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [06:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [06:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Lasix t0: [06:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [06:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CaO2 el: 0 t0: [06:17:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22169
id: WBC (4-11,000) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: CaO2 t0: [06:17:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 12.1836 n1: 12.1836 u1: ml/dl st: NotStopd id: Hematocrit t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 355 n1: 355 rs: Final st: NotStopd id: RBC t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 3.55 n1: 3.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: BUN (6-20) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Pain Location el: 0 t0: [08:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22066 id: Position el: 0 t0: [08:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22066 id: Radiologic Study el: 0 t0: [08:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22066 id: Side Rails el: 0 t0: [08:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22066
id: Pain Present t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radiologic Study t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Turn t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [08:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [08:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 135 vu: ml
id: Lasix t0: [07:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [08:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [07:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [08:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd
id: FiO2 Set t0: [10:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [10:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [10:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd
id: Code Status t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [10:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [10:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 235 vu: ml
id: Lasix t0: [09:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [10:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [09:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [10:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [11:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [10:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Turn t0: [09:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [12:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [12:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Lasix t0: [11:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [12:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [11:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 148 n1: 148 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [12:00:00 02/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Code Status t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [13:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [13:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Lasix t0: [13:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [13:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [13:00:00 02/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Code Status t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [14:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [14:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Lasix t0: [14:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroglycerine t0: [14:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: FiO2 Set t0: [15:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [09:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: Alb/Atr st: NotStopd id: O2 Delivery Device t0: [15:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [15:00:00 02/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd
id: Vancomycin/Random el: 0 t0: [05:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22246
id: Code Status t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Temp. Site t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [15:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [15:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: Lasix t0: [15:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: % st: NotStopd id: calprevflg t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [16:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [16:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 165 vu: ml
id: Lasix t0: [16:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Imp Skin Cleanse #1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Character #1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Character #2 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Drain/Amt#1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Treatment #1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Treatment #2 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Wound Base#1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: ImpSkin Wound Base#2 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: Impaired Skin Site#1 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: Impaired Skin Site#2 el: 0 t0: [12:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21826 id: Skin Color el: 0 t0: [16:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21586 id: Skin Temp/Condition el: 0 t0: [16:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21586
id: HOB t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Right st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Right st: NotStopd id: Restraint Location t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Turn t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Po Intake t0: [09:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 30 vu: ml id: Po Intake t0: [12:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 30 vu: ml id: Po Intake t0: [14:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 30 vu: ml id: Po Intake t0: [16:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml
id: BUN (6-20) t0: [15:30:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:30:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:30:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:30:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:30:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: Code Status t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: SocServ Involved st: NotStopd id: Family Communication t0: [16:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [13:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Support Systems t0: [14:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Support Systems t0: [15:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Social Services st: NotStopd id: Urine Color/Appear t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [17:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [17:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fingerstick Glucose t0: [17:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 287 n1: 287 rs: Manual st: NotStopd
id: Lasix t0: [17:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Range of Motion t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Circulation/SkinInt t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Code Status t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Ectopy Frequency t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PVR t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PostTib. Pulses R/L t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Precautions t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Reason For Restraint t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Removed x 5 Mins t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Rate t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Type t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Restraints Evaluated t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: SpO2 t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: Temperature C t0: [18:00:00 02/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: calprevflg t0: [18:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [18:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [18:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 390 vu: ml
id: Lasix t0: [18:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Amylase el: 0 t0: [05:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 22246
id: ALT el: 0 t0: [15:30:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21616 id: AST el: 0 t0: [15:30:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21616 id: Alk. Phosphate el: 0 t0: [15:30:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21616 id: Total Bili (0-1.5) el: 0 t0: [15:30:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21616
id: GU Cath Insert Date el: 0 t0: [20:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21346
id: Code Status t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [20:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml
id: Lasix t0: [20:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type el: 0 t0: [20:00:00 02/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 21346
id: Service Type t0: [20:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [22:00:00 02/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Code Status t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Heart Rate t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [22:00:00 02/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 02/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [22:00:00 02/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 1000 vu: ml
id: Lasix t0: [22:00:00 02/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 02/07/2014] el: 1 cg: RN cu: CCU cv: 390 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Heart Rate t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: O2 Delivery Device t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 03/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [00:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 1000 vu: ml
id: Lasix t0: [00:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 1672 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 2171 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 03/07/2014] el: 1 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 6990 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: -4819 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: -12508.2 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 6990 ac: 24 ap: none re: 0
id: BUN (6-20) t0: [23:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:00:00 02/07/2014] el: 0 cg: 140 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: FiO2 Set t0: [06:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Diet Type el: 0 t0: [06:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20746
id: Service Type t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GU Cath Insert Date t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: LLL Lung Sounds t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: O2 Delivery Device t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Source t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [06:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [06:00:00 03/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [03:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [06:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 950 vu: ml id: Urine Out Foley t0: [06:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 625 vu: ml
id: Lasix t0: [03:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [06:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [07:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [07:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [07:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 700 vu: ml
id: Lasix t0: [07:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 139 n1: 139 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [08:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 650 vu: ml
id: Lasix t0: [08:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 15 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: SaO2 t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 87 n1: 87 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: CaO2 t0: [08:34:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 12.3959 n1: 12.3959 u1: ml/dl st: NotStopd id: Hematocrit t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 33.6 n1: 33.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 396 n1: 396 rs: Final st: NotStopd id: RBC t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 4.13 n1: 4.13 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd
id: BUN (6-20) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 91 n1: 91 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 22.8 n1: 22.8 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: HOB t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Oral Cavity t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Assistance Device t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [09:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [09:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Turn t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Weight Change t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: -7.1 n1: -7.1 u1: kg st: NotStopd id: Daily Weight t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Behavior t0: [09:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [10:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 500 vu: ml
id: Lasix t0: [10:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 03/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 100 vu: ml
id: Differential-Bands el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606 id: Differential-Basos el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606 id: Differential-Eos el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606 id: Differential-Lymphs el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606 id: Differential-Monos el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606 id: Differential-Polys el: 0 t0: [08:20:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20606
id: Differential-Bands t0: [08:20:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: GU Cath Insert Date t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: ? v2: ? st: NotStopd id: HOB t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Oral Cavity t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assistance Device t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: RLL Lung Sounds t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Turn t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Source t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [11:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 360 vu: ml
id: Lasix t0: [11:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma el: 1 t0: [12:00:00 03/07/2014] tf: [13:00:00 04/07/2014] cu: CCU dt: 1500
id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Fresh Frozen Plasma t0: [12:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 176 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [12:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 150 vu: ml
id: Lasix t0: [12:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [12:30:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Fresh Frozen Plasma t0: [12:30:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 203 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [12:30:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml
id: Blood Products Total t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 379 ac: 24 ap: none re: 0
id: SpO2 t0: [12:23:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd
id: Service Type t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 03/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [13:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 400 vu: ml
id: Lasix t0: [13:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Airway Size el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Airway Type el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Intubation Date el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Minimal Leak Present el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Significant Events el: 0 t0: [14:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20266 id: Sputum Color/Consist el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386 id: Sputum Source/Amt el: 0 t0: [12:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20386
id: Service Type t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: ETT Mark/Location t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Family Communication t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Flat in Bed st: NotStopd id: HOB t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Flat in Bed st: NotStopd id: Heart Rate t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Airway Size t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Minimal Leak Present t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Oral Cavity t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 187 n1: 187 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Assistance Device t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Procedures t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bronchoscopy st: NotStopd id: RLL Lung Sounds t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Location t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Location t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Significant Events t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Skin Integrity t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: Turn t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Turn t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Source t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Calm st: NotStopd id: Behavior t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [14:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 255 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 510 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [14:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [15:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 110 vu: ml id: Urine Out Foley t0: [15:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Lasix t0: [14:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [15:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 03/07/2014] el: 0 cg: CoWker cu: CCU rs: Manual st: NotStopd
id: Service Type t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Previous WeightF t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Previous WeightF t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Previous WeightF t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Procedures t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Procedures t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Procedures t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Procedures t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:45:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [15:15:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [15:30:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [15:45:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [16:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [16:15:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [16:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 65 vu: ml
id: Fingerstick Glucose t0: [16:30:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 146 n1: 146 rs: Manual st: NotStopd
id: Compliance (40-60ml) el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: High Insp. Pressure el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: High Resp. Rate el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: I:E Ratio el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Low Exhaled Min Vol el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Low Insp. Pressure el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Mean Airway Pressure el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Minute Volume(Obser) el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: PEEP Set el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Peak Flow el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Peak Insp. Pressure el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Plateau Pressure el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Remote Alarm el: 0 t0: [14:30:00 03/07/2014] tf: [08:00:00 05/07/2014] cu: CCU dt: 2490 id: Resp Rate (Spont) el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Resp Rate (Total) el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Respiratory Rate Set el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Sensitivity-Vent el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Tidal Volume (Obser) el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Tidal Volume (Set) el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490 id: Ventilator Mode el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Ventilator Type el: 0 t0: [14:30:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20236 id: Waveform-Vent el: 0 t0: [14:30:00 03/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 8490
id: Compliance (40-60ml) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1:4.5 st: NotStopd id: Airway Size t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 8.3 n1: 8.3 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5.89 n1: 5.89 u1: L/min st: NotStopd id: PEEP Set t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 27.8 n1: 27.8 u1: cmH2O st: NotStopd id: Remote Alarm t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Resp Rate (Spont) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [14:30:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 12.849 n1: 12.849 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 90 n1: 90 u1: % rs: Final st: NotStopd
id: Ativan io: D5W 200.0ml + 20mghr Ativan el: 100 cg: RN cu: CCU am: 20 du: mghr rt: IV Drip
id: Less Restrict Meas. t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
io: D5W 200.0ml + 20mghr Ativan el: 1 cg: RN cu: CCU ra: 20 ru: ml/hr
id: Pressure Support el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Tidal Volume (Spont) el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086
id: ETT Mark/Location t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Remote Alarm t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Resp Rate (Total) t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 790 n1: 790 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Temp. Site t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [17:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [17:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Ativan el: 1 t0: [17:00:00 03/07/2014] tf: [07:00:00 04/07/2014] cu: CCU dt: 840
id: Lasix t0: [17:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [17:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: INV Line#1SiteAppear el: 0 t0: [16:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4620 id: INV Line#2 Zero/Cal el: 0 t0: [16:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4620 id: INV Line#2SiteAppear el: 0 t0: [16:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4620 id: INV#2 WaveformAppear el: 0 t0: [16:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4620 id: IV #2 Insert Date el: 0 t0: [16:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20146 id: IV #2 Site/Size el: 0 t0: [16:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20146 id: IV Site Appear #1 el: 0 t0: [16:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20146 id: IV Site Appear #2 el: 0 t0: [16:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4620
id: INV Line#1 Type/Site t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: INR (2-4 ref. range) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: PTT(22-35) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd
id: Range of Motion el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Circulation/SkinInt el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: IV #3 Insert Date el: 0 t0: [17:00:00 03/07/2014] tf: [16:01:00 16/07/2014] cu: CCU dt: 18661 id: IV #3 Site/Size el: 0 t0: [17:00:00 03/07/2014] tf: [16:01:00 16/07/2014] cu: CCU dt: 18661 id: IV Site Appear #3 el: 0 t0: [17:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4560 id: Position Change el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Reason For Restraint el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Removed x 5 Mins el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Restraint Type el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086 id: Restraints Evaluated el: 0 t0: [17:00:00 03/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 20086
id: Range of Motion t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GU Cath Insert Date t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: HOB t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Turn t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: BUN (6-20) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:43:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 03/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 60.0ml + 60mghr Ativan el: 1 t0: [18:00:00 03/07/2014] tf: [08:00:00 04/07/2014] cu: CCU dt: 840
id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [18:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [18:00:00 03/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Lasix t0: [18:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [18:00:00 03/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Art.pH t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:26:00 03/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Plateau-Off el: 0 t0: [20:00:00 03/07/2014] tf: [00:00:00 12/07/2014] cu: CCU dt: 11760
id: ETT Mark/Location t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 11.4 n1: 11.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Remote Alarm t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Resp Rate (Total) t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 03/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Ativan io: D5W 60.0ml + 60mghr Ativan el: 101 cg: -1 cu: CCU am: 60 du: mghr rt: IV Drip
io: D5W 60.0ml + 60mghr Ativan el: 1 cg: -1 cu: CCU ra: 2 ru: ml/hr
id: Range of Motion t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v2: ? st: NotStopd id: HOB t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Position t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [20:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [20:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 600 vu: ml
id: Lasix t0: [20:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Dorsal PedPulse R/L el: 0 t0: [20:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4380 id: PostTib. Pulses R/L el: 0 t0: [20:00:00 03/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 4380
id: Dorsal PedPulse R/L t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd
id: Ativan t0: [21:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Gastric Oral Gastric t0: [22:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 0 vu: ml
id: Gastric Out Total t0: [23:00:00 03/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 129 n1: 129 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [22:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [22:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 22 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [22:00:00 03/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 03/07/2014] el: 1 cg: -1 cu: CCU vo: 500 vu: ml
id: Lasix t0: [22:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [22:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Lasix t0: [23:00:00 03/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: KCL io: D5NS 1000.0ml el: 100 cg: -1 cu: CCU am: 20 du: mEq rt: Intravenous Push
id: Service Type t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: calprevflg t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [00:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [00:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 400 vu: ml
id: Lasix t0: [00:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [00:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: ETT Mark/Location t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [01:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Arterial BP t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [01:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [01:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: HOB t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Position t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: RLL Lung Sounds t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Turn t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [02:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: D5W 60.0ml + 60mghr Ativan t0: [02:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [02:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 320 vu: ml
id: Lasix t0: [02:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [02:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 60.0ml + 60mghr Ativan t0: [04:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [04:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 360 vu: ml
id: Lasix t0: [04:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [04:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: ETT Mark/Location t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 11.4 n1: 11.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Art.pH t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:09:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 360 n1: 360 rs: Final st: NotStopd id: RBC t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [21:00:00 03/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd
id: INR (2-4 ref. range) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 17.1 n1: 17.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 33.5 n1: 33.5 rs: Final st: NotStopd
id: ALT t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Amylase t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: BUN (6-20) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 153 n1: 153 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 60.0ml + 60mghr Ativan t0: [06:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [06:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 280 vu: ml
id: Lasix t0: [06:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [06:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: D5NS 1000.0ml el: 1 t0: [00:00:00 04/07/2014] tf: [17:00:00 04/07/2014] cu: CCU dt: 1020
id: D5NS 1000.0ml t0: [00:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [01:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [02:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [03:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [04:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [05:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: D5NS 1000.0ml t0: [06:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml
id: D5W 100.0ml t0: [04:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 25 vu: ml id: D5W 100.0ml t0: [05:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 25 vu: ml id: D5W 100.0ml t0: [06:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 25 vu: ml
id: INR (2-4 ref. range) t0: [06:30:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:30:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd
id: MDI #1 (Puff/Drug) el: 0 t0: [08:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 19186 id: MDI #2 (Puff/Drug) el: 0 t0: [08:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 19186
id: ETT Mark/Location t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11.4 n1: 11.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 8.22 n1: 8.22 u1: L/min st: NotStopd id: PEEP Set t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:07:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Range of Motion t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v2: ? st: NotStopd id: HOB t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 113 n1: 113 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: Turn t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Hypoactive st: NotStopd
id: D5W 60.0ml + 60mghr Ativan t0: [08:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: D5NS 1000.0ml t0: [08:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [08:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 230 vu: ml
id: Ativan el: 1 t0: [08:00:00 04/07/2014] tf: [11:30:00 08/07/2014] cu: CCU dt: 5970
id: Lasix t0: [08:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [08:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 91.9 n1: 91.9 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Weight Change t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: -4.4 n1: -4.4 u1: kg st: NotStopd id: Daily Weight t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd
id: D5W 60.0ml + 60mghr Ativan el: 1 t0: [09:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 19126
id: D5W 60.0ml + 60mghr Ativan t0: [09:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0.5 vu: ml id: D5NS 1000.0ml t0: [09:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [09:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [09:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 95 vu: ml
id: Lasix t0: [09:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [09:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [10:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [10:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 110 n1: 110 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 60.0ml + 60mghr Ativan t0: [11:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: D5NS 1000.0ml t0: [11:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 150 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [11:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [11:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Lasix t0: [11:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [11:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Range of Motion t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: ETT Mark/Location t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Family Communication t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: FiO2 Set t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Airway Size t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Position t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [09:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: Turn t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Ventilator Type t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Behavior t0: [11:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd
id: ETT Mark/Location t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11.4 n1: 11.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:45:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: D5W 60.0ml + 60mghr Ativan t0: [12:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0.5 vu: ml id: D5NS 1000.0ml t0: [12:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [12:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml
id: Lasix t0: [12:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [12:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Fresh Frozen Plasma t0: [13:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Range of Motion t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: HOB t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Airway Size t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 146 n1: 146 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: Turn t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: D5W 20.0ml + 20mghr Ativan el: 1 t0: [13:00:00 04/07/2014] tf: [17:30:00 04/07/2014] cu: CCU dt: 270
id: D5W 100.0ml t0: [13:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 100 vu: ml id: D5NS 1000.0ml t0: [13:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [13:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [13:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: Urine Out Foley t0: [13:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: Lasix t0: [13:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [13:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 128 n1: 128 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [14:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [14:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [14:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: Urine Out Foley t0: [14:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Lasix t0: [14:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [14:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Precautions t0: [15:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Significant Events t0: [15:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: OR Sent st: NotStopd
id: Lasix t0: [15:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 20.6 n1: 20.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 6.77 n1: 6.77 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 34.6 n1: 34.6 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Ativan io: D5W 20.0ml + 20mghr Ativan el: 103 cg: -1 cu: CCU am: 20 du: mghr rt: IV Drip
id: Pain Present t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Level of Conscious t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Pattern t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Significant Events t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: OR Received st: NotStopd id: SpO2 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Ventilator Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Oral Gastric el: 1 t0: [09:00:00 04/07/2014] tf: [21:00:00 06/07/2014] cu: CCU dt: 3600
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5NS 1000.0ml t0: [17:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 225 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [17:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [17:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Gastric Oral Gastric t0: [09:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 60 vu: ml
id: Lasix t0: [17:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [17:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 04/07/2014] el: 1 cg: -1 cu: CCU cv: 60 ac: 24 ap: none re: 0
id: FiO2 Set t0: [18:08:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd
id: Chest Tube Site #1 el: 0 t0: [17:00:00 04/07/2014] tf: [21:00:00 15/07/2014] cu: CCU dt: 16080 id: CT #1 Crepitus el: 0 t0: [17:00:00 04/07/2014] tf: [21:00:00 15/07/2014] cu: CCU dt: 16080 id: CT #1 Drainage el: 0 t0: [17:00:00 04/07/2014] tf: [21:00:00 15/07/2014] cu: CCU dt: 16080 id: CT #1 Dressing el: 0 t0: [17:00:00 04/07/2014] tf: [21:00:00 15/07/2014] cu: CCU dt: 16080 id: CT #1 Fluctuate/Leak el: 0 t0: [17:00:00 04/07/2014] tf: [23:00:00 09/07/2014] cu: CCU dt: 7560 id: CT #1 Suction Amount el: 0 t0: [17:00:00 04/07/2014] tf: [23:00:00 09/07/2014] cu: CCU dt: 7560
id: Range of Motion t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: HOB t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Insert Date t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Insert Date t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Insert Date t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [12:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Turn t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Behavior t0: [16:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Changed st: NotStopd id: CT #1 Fluctuate/Leak t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 20 cm st: NotStopd
id: Radiologic Study t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Chest Xray st: NotStopd
id: Range of Motion t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: ImpSkin Character #1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Arterial BP t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Precautions t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Reason For Restraint t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Friend st: NotStopd id: calprevflg t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Braden Activity t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:30:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [17:30:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [17:30:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml
id: Lasix t0: [17:30:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Ativan t0: [07:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip st: Stopped id: Ativan t0: [15:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [17:30:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Size t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Ventilator Type t0: [17:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 132 n1: 132 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [18:00:00 04/07/2014] tf: [08:00:00 07/07/2014] cu: CCU dt: 3720
id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [18:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: Chest Tubes Right Pleural 1 t0: [18:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 150 vu: ml
id: Lasix t0: [18:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 04/07/2014] el: 1 cg: -1 cu: CCU cv: 150 ac: 24 ap: none re: 0
id: D5W 20.0ml + 20mghr Ativan el: 1 t0: [18:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 18586
id: D5W 20.0ml + 20mghr Ativan t0: [18:00:00 04/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml
id: Ativan t0: [18:00:00 04/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: ETT Mark/Location t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Airway Size t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Ventilator Type t0: [18:00:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Art.pH t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 11.1668 n1: 11.1668 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [18:25:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 91 n1: 91 u1: % rs: Final st: NotStopd
id: Urine Out Foley t0: [17:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [18:00:00 04/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: D5W 100.0ml t0: [17:00:00 04/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 600 vu: ml
id: BUN (6-20) t0: [18:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Carbon Dioxide t0: [18:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:00:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Inspired Gas Temp el: 0 t0: [20:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 18466
id: Compliance (40-60ml) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 18.75 n1: 18.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Airway Size t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [20:00:00 04/07/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [20:30:00 04/07/2014] el: 0 cg: -1 cu: CCU v1: 283 n1: 283 rs: Manual st: NotStopd
id: Range of Motion t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: HOB t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Turn t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [21:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [21:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 20.0ml + 20mghr Ativan t0: [21:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [21:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Ativan t0: [21:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 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: 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: 1 ru: ml/hr io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CCU ra: 2.5 ru: ml/hr
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 04/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Fentanyl el: 1 t0: [21:00:00 04/07/2014] tf: [03:00:00 08/07/2014] cu: CCU dt: 4680
id: Fentanyl t0: [21:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Ectopy Frequency t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Previous WeightF t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 275 n1: 275 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 t0: [22:00:00 04/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 18346 id: .9% Normal Saline 100.0ml + 100mghr Lasix el: 1 t0: [22:00:00 04/07/2014] tf: [05:00:00 05/07/2014] cu: CCU dt: 420
id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 04/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [22:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [22:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Urine Out Foley t0: [22:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fentanyl t0: [22:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [22:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU cv: 2411.5 ac: 24 ap: none re: 0
id: Art.pH t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 11.6864 n1: 11.6864 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [23:18:00 04/07/2014] el: 0 cg: 140 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Ectopy Frequency t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Previous WeightF t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds el: 1 t0: [23:00:00 04/07/2014] tf: [00:00:00 15/07/2014] cu: CCU dt: 14460
id: Gastric Meds t0: [23:00:00 04/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: 24h Total In t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: 60 cv: 2471.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: 60 cv: 60 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: 80 cv: 2665 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: -20 cv: -403.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: -20 cv: -12911.8 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: -20 cv: -20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU pv: 80 cv: 2875 ac: 24 ap: none re: 0
id: Code Status t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Verbal Response t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 180 n1: 180 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [00:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [00:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [00:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [00:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [00:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 684.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 1134.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 990 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 144.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: -12767.2 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 990 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 2.4 n1: 2.4 st: NotStopd id: Airway Size t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [00:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Ectopy Frequency t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Range of Motion t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: HOB t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: LLL Lung Sounds t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position Change t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Previous WeightF t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 rs: Manual st: NotStopd id: CT #1 Crepitus t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [03:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [03:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 13.5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [03:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [03:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [03:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [03:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 3.7 n1: 3.7 st: NotStopd id: Airway Size t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau-Off t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [04:00:00 05/07/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Code Status t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [04:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [04:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Urine Out Foley t0: [04:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [04:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [04:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100mghr Lasix t0: [05:00:00 05/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Sputum Color/Consist t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Insulin el: 1 t0: [21:00:00 04/07/2014] tf: [22:00:00 08/07/2014] cu: CCU dt: 5820
id: Lasix t0: [00:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [01:30:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [03:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [04:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [21:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [22:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Lasix t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [00:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:30:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 04/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [06:00:00 05/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [06:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [06:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [06:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [06:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [06:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [06:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:03:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: Hematocrit t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 33.3 n1: 33.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 400 n1: 400 rs: Final st: NotStopd id: RBC t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: PTT(22-35) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 29.5 n1: 29.5 rs: Final st: NotStopd
id: BUN (6-20) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:04:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: FIO2 Alarm-High t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: FIO2 Alarm-Low t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Remote Alarm t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: MDI #3 (Puff/Drug) el: 0 t0: [08:00:00 05/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 17746 id: Ventilator No. el: 0 t0: [08:00:00 05/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 17746
id: Compliance (40-60ml) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 1:4.5 st: NotStopd id: Airway Size t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 34.6 n1: 34.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #3 (Puff/Drug) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6.12 n1: 6.12 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [08:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Chest Tube Site #1 t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Temp. Site t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/07/2014] 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 05/07/2014] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [08:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [08:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Fentanyl t0: [08:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [08:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [08:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Airway Size t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd
id: FiO2 Set t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 11.7 n1: 11.7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.72 n1: 7.72 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Total) t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 440 n1: 440 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Code Status t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [09:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [10:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [09:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [10:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [10:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Art.pH t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 71 n1: 71 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:41:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 34.5 n1: 34.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.65 n1: 7.65 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Pressure Support t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 780 n1: 780 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [12:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Chest Tube Site #1 t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #2 Insert Date t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Arterial BP t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Crepitus t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [12:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [12:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [12:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [11:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [11:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [12:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [13:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [11:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [13:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 182 n1: 182 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [11:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 191 n1: 191 rs: Manual st: NotStopd
id: Code Status t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [14:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [14:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [14:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd
io: Promote w/fiber el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Code Status t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 34.5 n1: 34.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Plateau-Off t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Precautions t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Support t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Previous WeightF t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Resp Rate (Total) t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 750 n1: 750 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [16:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd id: calprevflg t0: [15:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Fentanyl t0: [15:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [15:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [16:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [15:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Site #1 t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [17:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Abdominal Assessment t0: [17:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Temp. Site t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Bowel Sounds t0: [17:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: D5W 100.0ml t0: [16:00:00 05/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [16:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [17:00:00 05/07/2014] el: 1 ai: 255 cg: RN cu: CCU vu: ml nb: 1 id: Urine Out Foley t0: [16:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Art.pH t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: ETT Mark/Location t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Airway Size t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Resp Rate (Total) t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 720 n1: 720 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [17:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 176 n1: 176 rs: Manual st: NotStopd
id: Ectopy Frequency t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Previous WeightF t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Promote w/fiber el: 1 t0: [18:00:00 05/07/2014] tf: [21:00:00 08/07/2014] cu: CCU dt: 4500
id: Po Intake t0: [18:00:00 05/07/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [18:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [18:00:00 05/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Fentanyl t0: [17:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [17:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [18:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [18:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [18:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: FiO2 Set t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 34.2 n1: 34.2 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 12.8 n1: 12.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 860 n1: 860 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 05/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Art.pH t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 63 n1: 63 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:49:00 05/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: AntiEmbDevice/Status el: 0 t0: [20:00:00 05/07/2014] tf: [00:00:00 15/07/2014] cu: CCU dt: 13200
id: Range of Motion t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: HOB t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Temp. Site t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: TF Residual el: 1 t0: [20:00:00 05/07/2014] tf: [12:00:00 07/07/2014] cu: CCU dt: 2400
id: TF Residual t0: [20:00:00 05/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [20:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [20:00:00 05/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [20:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [20:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [20:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 400 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [20:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Ectopy Frequency t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Previous WeightF t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Turn t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [20:00:00 05/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 05/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [22:00:00 05/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [22:00:00 05/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [22:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [22:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [22:00:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 05/07/2014] el: 1 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0
id: Code Status t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:30:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [23:30:00 05/07/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Ativan t0: [23:30:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [23:30:00 05/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.2 n1: 34.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 11.7 n1: 11.7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6.1 n1: 6.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 970 n1: 970 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Code Status t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [01:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [00:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [00:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [01:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [01:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [01:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Previous WeightF t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Color/Consist t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [22:00:00 05/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Urine Color/Appear t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [02:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [02:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [02:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [02:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [02:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.2 n1: 34.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 11.8 n1: 11.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 900 n1: 900 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Code Status t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [04:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [04:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [04:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [04:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [04:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Ectopy Frequency t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Turn t0: [04:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Code Status t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [05:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [06:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [06:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [06:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Right Pleural 1 t0: [06:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [06:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [06:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [06:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [06:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 64 n1: 64 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:12:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 34.4 n1: 34.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 522 n1: 522 rs: Final st: NotStopd id: RBC t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 4.07 n1: 4.07 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd
id: ALT t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 88 n1: 88 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: Phosphorous(2.7-4.5) t0: [06:00:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.4 n1: 34.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 11.2 n1: 11.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6.35 n1: 6.35 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 840 n1: 840 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [08:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Code Status t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Level of Conscious t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Reason For Restraint t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Temp. Site t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Verbal Response t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [08:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [08:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Fentanyl t0: [08:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [08:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [08:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #2 Insert Date t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Fingerstick Glucose t0: [08:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [10:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 1:4.8 st: NotStopd id: Airway Size t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 12.4 n1: 12.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6.07 n1: 6.07 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau-Off t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [11:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Code Status t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [09:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [10:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [11:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [09:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [10:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [10:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Code Status t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [12:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [13:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [12:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [13:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:30:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [13:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [13:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Promote w/fiber t0: [13:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [13:30:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [13:30:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [13:30:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Range of Motion t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: Heart Rate t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [13:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Source t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: CT #1 Crepitus t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: Chest Tubes Right Pleural 1 t0: [13:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fentanyl t0: [14:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [14:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [14:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 195 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 1:1.9 st: NotStopd id: Airway Size t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.6 n1: 34.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [16:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Chest Tube Site #1 t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Temp. Site t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Verbal Response t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [16:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Promote w/fiber t0: [16:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [16:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [16:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [16:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Diet Type t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Arterial BP t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd id: Bowel Sounds t0: [18:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [18:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [18:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [18:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [18:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Fentanyl t0: [18:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [18:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [18:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 340 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 20.6897 n1: 20.6897 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 1:3.1 st: NotStopd id: Airway Size t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.3 n1: 34.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 39 n1: 39 u1: cmH2O st: NotStopd id: Plateau-Off t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [18:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21.0526 n1: 21.0526 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 34.3 n1: 34.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 14.4 n1: 14.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 38.5 n1: 38.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [20:00:00 06/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Dorsal PedPulse R/L t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Delivery Device t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Delivery Device#2 t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) #2 t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PostTib. Pulses R/L t0: [21:00:00 06/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Po Intake t0: [21:00:00 06/07/2014] el: 1 ai: 103 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5NS 1000.0ml t0: [21:00:00 06/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: Gastric Oral Gastric t0: [21:00:00 06/07/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: GI Intub #1/Site el: 0 t0: [20:00:00 06/07/2014] tf: [21:00:00 13/07/2014] cu: CCU dt: 10140 id: GI#1 Tube PlaceCheck el: 0 t0: [20:00:00 06/07/2014] tf: [21:00:00 13/07/2014] cu: CCU dt: 10140 id: GI#1 Tube Stat/Drain el: 0 t0: [20:00:00 06/07/2014] tf: [21:00:00 13/07/2014] cu: CCU dt: 10140
id: Range of Motion t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Temp. Site t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 t0: [12:00:00 06/07/2014] tf: [08:00:00 09/07/2014] cu: CCU dt: 4080
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 17 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 16 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [20:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [20:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [20:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Fentanyl t0: [20:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [20:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [20:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Arterial BP t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 06/07/2014] el: 0 cg: RN cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 06/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [22:00:00 06/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [22:00:00 06/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 455 vu: ml
id: Fentanyl t0: [22:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [22:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [22:00:00 06/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 444 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 1284 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 500 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 1400 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: -311 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: -13078.2 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/07/2014] el: 1 cg: RN cu: CCU cv: 1595 ac: 24 ap: none re: 0
id: Art.pH t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:52:00 06/07/2014] el: 0 cg: 140 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd
id: Service Type t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [00:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [00:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [00:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [00:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [00:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 19.5 cv: 541.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 84.5 cv: 2146.25 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 65 cv: 805 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 34.5 cv: -803.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 34.5 cv: -13882 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 34.5 cv: 34.5 ac: 1 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21.4286 n1: 21.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1:5.3 st: NotStopd id: Airway Size t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 34.3 n1: 34.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [00:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Follows Commands el: 0 t0: [02:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 15226 id: Spontaneous Movement el: 0 t0: [02:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 15226
id: Range of Motion t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: Abdominal Assessment t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Urine Source t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [02:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml id: D5W 20.0ml + 20mghr Ativan t0: [02:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [02:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [02:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 295 vu: ml
id: Fentanyl t0: [02:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [02:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [02:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 27.027 n1: 27.027 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6.3 n1: 6.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 32.2 n1: 32.2 u1: cmH2O st: NotStopd id: Plateau-Off t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [04:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Imp Skin Cleanse #2 el: 0 t0: [04:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 15106 id: ImpSkin Drain/Amt#2 el: 0 t0: [04:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 15106
id: Service Type t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Arterial BP t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Skin Color t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Temp. Site t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 40.0ml + 40mghr Ativan el: 1 t0: [04:00:00 07/07/2014] tf: [12:00:00 08/07/2014] cu: CCU dt: 1920 id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl el: 1 t0: [04:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 15106
id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [04:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [04:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [04:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [04:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [04:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [04:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [05:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Previous WeightF t0: [05:00:00 06/07/2014] el: 0 cg: -1 cu: CCU u1: kg st: NotStopd
id: Code Status t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [05:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Promote w/fiber t0: [05:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 30 vu: ml id: Chest Tubes Right Pleural 1 t0: [05:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 85 vu: ml id: Urine Out Foley t0: [05:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [05:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [05:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [05:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [05:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:51:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: Hematocrit t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 33.9 n1: 33.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 475 n1: 475 rs: Final st: NotStopd id: RBC t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 4.02 n1: 4.02 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 16.7 n1: 16.7 rs: Final st: NotStopd
id: Pressure Support t0: [06:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Ventilator Mode t0: [06:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd
id: ALT t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 77 n1: 77 rs: Final st: NotStopd id: BUN (6-20) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 213 n1: 213 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:42:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd
id: ETT Mark/Location t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 33.7 n1: 33.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5.8 n1: 5.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.76 n1: 7.76 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 830 n1: 830 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [07:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [07:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [07:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [07:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [07:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [07:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [07:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [07:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl io: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl el: 101 cg: RN cu: CCU am: 1000 du: mcghr rt: IV Drip id: Ativan io: D5W 40.0ml + 40mghr Ativan el: 104 cg: RN cu: CCU am: 40 du: mghr rt: IV Drip
id: Pain Present t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [08:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Urine Out Foley t0: [08:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [08:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [08:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [08:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 263 n1: 263 rs: Manual st: NotStopd
id: SpO2 t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: Insulin t0: [08:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Weight Change t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: -2.2 n1: -2.2 u1: kg st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [09:00:00 07/07/2014] tf: [10:00:00 07/07/2014] cu: CCU dt: 60
id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [09:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Chest Tubes Right Pleural 1 t0: [09:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [09:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [09:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [09:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [09:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal el: 0 t0: [08:00:00 07/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 4920 id: INV Line#2SiteAppear el: 0 t0: [08:00:00 07/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 4920 id: INV#2 WaveformAppear el: 0 t0: [08:00:00 07/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 4920
id: Range of Motion t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: HOB t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Turn t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: Arterial Base Excess t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd
id: CaO2 t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 12.8807 n1: 12.8807 u1: ml/dl st: NotStopd id: SaO2 t0: [09:22:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 92 n1: 92 u1: % rs: Final st: NotStopd
id: FiO2 Set t0: [09:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: PEEP Set t0: [09:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd
id: Pain Assess Method el: 0 t0: [10:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14746
id: Pain Present t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [08:00:00 07/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [10:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Chest Tubes Right Pleural 1 t0: [08:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Chest Tubes Right Pleural 1 t0: [10:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [10:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [10:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [10:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [10:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [10:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Dorsal PedPulse R/L el: 0 t0: [10:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14746 id: INV Line#1SiteAppear el: 0 t0: [08:00:00 07/07/2014] tf: [04:00:00 09/07/2014] cu: CCU dt: 2640 id: IV Site Appear #2 el: 0 t0: [08:00:00 07/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 4920 id: IV Site Appear #3 el: 0 t0: [08:00:00 07/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 4920 id: Imp Skin Cleanse #3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: ImpSkin Character #3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: ImpSkin Drain/Amt #3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: ImpSkin Treatment #3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: ImpSkin Wound Base#3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: Impaired Skin Site#3 el: 0 t0: [09:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14806 id: PostTib. Pulses R/L el: 0 t0: [10:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14746
id: Range of Motion t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: HOB t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt #3 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [09:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Bowel Sounds t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: Sputum Color/Consist t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Airway Size t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Ventilator No. t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 7200A st: NotStopd
id: Pain Present t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [11:00:00 07/07/2014] tf: [13:00:00 07/07/2014] cu: CCU dt: 120
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [11:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Chest Tubes Right Pleural 1 t0: [11:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [11:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [11:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [11:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [11:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 33.3 n1: 33.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 14.4 n1: 14.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [12:10:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: ImpSkin Wth/Lth #3 el: 0 t0: [12:00:00 07/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 14626
id: Pain Present t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: HOB t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 0.5 cm v2: 7 cm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [10:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [12:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Chest Tubes Right Pleural 1 t0: [12:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 1000mcghr Fentanyl t0: [12:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [12:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [12:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [12:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Free Water Bolus el: 1 t0: [12:00:00 07/07/2014] tf: [00:00:00 15/07/2014] cu: CCU dt: 10800
id: TF Residual t0: [12:00:00 07/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: Free Water Bolus t0: [12:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: Promote w/fiber t0: [12:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 30 vu: ml
id: SaO2 t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 89 n1: 89 u1: % rs: Final st: NotStopd
id: Art.pH t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 12.4574 n1: 12.4574 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 57 n1: 57 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:58:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 rs: Manual st: NotStopd
id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl el: 1 t0: [13:00:00 07/07/2014] tf: [04:00:00 08/07/2014] cu: CCU dt: 900
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [13:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [13:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 30 vu: ml id: Chest Tubes Right Pleural 1 t0: [13:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [13:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [13:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [13:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [13:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: IV #3 Insert Date t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Spontaneous Movement t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [14:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [14:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Right Pleural 1 t0: [14:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [14:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [14:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [14:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [14:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [14:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: PEEP Set t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: SpO2 t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: Ventilator No. t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [14:35:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Pain Present t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual el: 1 t0: [15:00:00 07/07/2014] tf: [11:00:00 17/07/2014] cu: CCU dt: 14160 id: Chest Tubes Right Pleural 1 el: 1 t0: [15:00:00 07/07/2014] tf: [17:00:00 07/07/2014] cu: CCU dt: 120
id: TF Residual t0: [15:00:00 07/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [15:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [15:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Right Pleural 1 t0: [15:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [15:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [15:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [15:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [15:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 12.6016 n1: 12.6016 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: SaO2 t0: [15:33:00 07/07/2014] el: 0 cg: 140 cu: CCU v1: 90 n1: 90 u1: % rs: Final st: NotStopd
id: Sputum Color/Consist t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd
id: Rec. Breath Pressure el: 0 t0: [16:00:00 07/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 2640 id: Rec.Breath Time(sec) el: 0 t0: [16:00:00 07/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 2640 id: Recruit Breath el: 0 t0: [16:00:00 07/07/2014] tf: [12:00:00 09/07/2014] cu: CCU dt: 2640
id: Rec. Breath Pressure t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 st: NotStopd id: Rec.Breath Time(sec) t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 st: NotStopd id: Recruit Breath t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP st: NotStopd
id: ETT Mark/Location t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.93 n1: 7.93 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [16:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Fingerstick Glucose t0: [15:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Pain Present t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Eye Opening t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Pain Location t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Bowel Sounds t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [16:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [16:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Right Pleural 1 t0: [16:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [16:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [16:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [16:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [17:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [16:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Service Type t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: HOB t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Turn t0: [14:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [16:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [16:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [16:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [17:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [17:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Right Pleural 1 t0: [17:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [17:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [17:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl io: .9% Normal Saline 50.0ml + 500mcghr Fentanyl el: 102 cg: RN cu: CCU am: 500 du: mcghr rt: IV Drip
id: ETT Mark/Location t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.55 n1: 0.55 u1: torr st: NotStopd id: Airway Size t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: PEEP Set t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 12.5 n1: 12.5 u1: cmH2O st: NotStopd id: Ventilator No. t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [17:17:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Fingerstick Glucose t0: [17:30:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 190 n1: 190 rs: Manual st: NotStopd
id: Service Type t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [17:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [17:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: KCL io: Sterile Water 100.0ml el: 100 cg: RN cu: CCU am: 40 du: mEq rt: Intravenous Push
id: Range of Motion t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Eye Opening t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: ? v2: ? st: NotStopd id: Heart Rate t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Spontaneous Movement t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: Sterile Water 100.0ml el: 1 t0: [18:00:00 07/07/2014] tf: [04:00:00 09/07/2014] cu: CCU dt: 2040
id: TF Residual t0: [18:00:00 07/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Sterile Water 100.0ml t0: [18:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [18:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [18:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 50 vu: ml id: Chest Tubes Right Pleural 1 t0: [18:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [18:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [18:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [18:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [18:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Free Water Bolus t0: [18:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 200 vu: ml
id: HOB t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Turn t0: [18:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Compliance (40-60ml) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 0.55 n1: 0.55 u1: torr st: NotStopd id: Airway Size t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Mean Airway Pressure t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 12.8 n1: 12.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [18:15:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [18:30:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Service Type t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [18:30:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [18:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [18:30:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [19:00:00 07/07/2014] tf: [23:00:00 07/07/2014] cu: CCU dt: 240
id: .9% Normal Saline 1000.0ml t0: [19:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4.5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [19:00:00 07/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.75 vu: ml id: Promote w/fiber t0: [19:00:00 07/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 50 vu: ml id: Chest Tubes Right Pleural 1 t0: [19:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [19:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [19:00:00 07/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [19:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [19:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [19:00:00 07/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 07/07/2014] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 68.9655 n1: 68.9655 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 0.55 n1: 0.55 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 33.7 n1: 33.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 14.6 n1: 14.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 12.5 n1: 12.5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 21.2 n1: 21.2 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [20:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Pain Present t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Eye Opening t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: GI Intub #1/Site t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Oral Cavity t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Turn t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [20:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [21:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [22:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: Promote w/fiber t0: [20:00:00 07/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 50 vu: ml id: Promote w/fiber t0: [21:00:00 07/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 50 vu: ml id: Promote w/fiber t0: [22:00:00 07/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [20:00:00 07/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [21:00:00 07/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [22:00:00 07/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [20:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [20:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [21:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [22:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [20:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Free Water Bolus t0: [22:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU cv: 800 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 48 n1: 48 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 33.8 n1: 33.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 16.2 n1: 16.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 22.5 n1: 22.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [23:00:00 07/07/2014] el: 0 cg: rrt cu: CCU v1: RAMP st: NotStopd
id: Ionized Calcium el: 0 t0: [00:13:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 13893
id: Art.pH t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 73 n1: 73 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Ionized Calcium t0: [00:13:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 1.13 n1: 1.13 rs: Final st: NotStopd
id: Service Type t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 113 n1: 113 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Temp. Site t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: calprevflg t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 112 n1: 112 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [23:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 rs: Manual st: NotStopd
id: TF Residual t0: [22:00:00 07/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [00:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [23:00:00 07/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: Promote w/fiber t0: [00:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [23:00:00 07/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Chest Tubes Right Pleural 1 t0: [22:00:00 07/07/2014] el: 1 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 07/07/2014] el: 1 cg: -1 cu: CCU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [00:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [23:00:00 07/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [00:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [23:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [00:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 07/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Turn t0: [00:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd
id: Ativan t0: [00:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip
id: Carbon Dioxide t0: [00:19:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:19:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:19:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [01:00:00 08/07/2014] tf: [02:00:00 08/07/2014] cu: CCU dt: 60
id: .9% Normal Saline 1000.0ml t0: [01:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [01:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [01:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Chest Tubes Right Pleural 1 t0: [00:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 0 vu: ml id: Chest Tubes Right Pleural 1 t0: [01:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 5 vu: ml id: Chest Tubes Right Pleural 1 t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [01:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [01:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [01:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 1.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [01:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 2695 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 2950 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 07/07/2014] el: 1 cg: -1 cu: CCU pv: 0 cv: 255 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [01:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 rs: Manual st: NotStopd
id: Pain Present t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 111 n1: 111 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [02:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1.5 vu: ml id: Promote w/fiber t0: [02:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [02:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 1.25 vu: ml
id: Fentanyl t0: [02:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Ativan t0: [02:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [02:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Chest Tube Site #1 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Follows Commands t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GCS Total t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Assistance Device t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Supervised st: NotStopd id: RLL Lung Sounds t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Temp. Site t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Turn t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [22:00:00 07/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: Chest Tubes Right Pleural 1 t0: [02:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Free Water Bolus t0: [02:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 60 vu: ml
id: Compliance (40-60ml) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 33.4 n1: 33.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 12.1 n1: 12.1 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 7.7 n1: 7.7 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau-Off t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: 7200A st: NotStopd id: Waveform-Vent t0: [03:00:00 08/07/2014] el: 0 cg: rrt cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 113 n1: 113 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 114 n1: 114 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [03:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Chest Tubes Right Pleural 1 el: 1 t0: [04:00:00 08/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 3720
id: .9% Normal Saline 1000.0ml t0: [03:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [03:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [04:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: Chest Tubes Right Pleural 1 t0: [04:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [03:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 1.25 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [04:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [03:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Ativan t0: [03:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [04:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [03:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 64 n1: 64 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:20:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 119 n1: 119 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 122 n1: 122 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 85.3 n1: 85.3 u1: kg st: NotStopd id: RLL Lung Sounds t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [02:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: Skin Temp/Condition t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: SpO2 t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Temperature C (calc) t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: Turn t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: TF Residual t0: [06:00:00 08/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [05:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0.5 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [06:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0.5 vu: ml id: Promote w/fiber t0: [03:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [04:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [05:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [06:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [05:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [06:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [05:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [06:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [05:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: PEEP Set t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 690 n1: 690 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [05:53:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: WBC (4-11,000) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: Hematocrit t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 33.5 n1: 33.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 515 n1: 515 rs: Final st: NotStopd id: RBC t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 18.5 n1: 18.5 rs: Final st: NotStopd
id: Free Water Bolus t0: [06:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 200 vu: ml
id: BUN (6-20) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Art.pH t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: CaO2 t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 13.1754 n1: 13.1754 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [06:37:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Flow-By (lpm) el: 0 t0: [08:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 13426 id: Flow-by Sensitivity el: 0 t0: [08:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 13426 id: Apnea Time Interval el: 0 t0: [08:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 13426
id: ETT Mark/Location t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 33.7 n1: 33.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 11.8 n1: 11.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5.9 n1: 5.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 770 n1: 770 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Range of Motion t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 136 n1: 136 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [08:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: Promote w/fiber t0: [08:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [08:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [08:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [08:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [08:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Fingerstick Glucose t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Arterial BP t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 129 n1: 129 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator No. t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: calprevflg t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ativan t0: [09:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [09:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Previous Weight t0: [08:00:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Weight Change t0: [08:00:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd
id: Range of Motion t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: ETT Mark/Location t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: FiO2 Set t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: Motor Response t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 123 n1: 123 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Resp Rate (Total) t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Pattern t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: Spontaneous Movement t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [09:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Turn t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 rs: Manual st: NotStopd id: Bowel Sounds t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [10:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml id: Promote w/fiber t0: [10:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [10:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [10:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [10:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [10:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 33.7 n1: 33.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 11.5 n1: 11.5 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Ventilator No. t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Fingerstick Glucose t0: [11:30:00 08/07/2014] el: 0 cg: CoWker cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: ETT Mark/Location t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: Motor Response t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 127 n1: 127 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 127 n1: 127 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Procedures t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sputum Cx st: NotStopd id: Procedures t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Blood Cultured st: NotStopd id: RLL Lung Sounds t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Resp Rate (Total) t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Turn t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 40.0ml + 40mghr Ativan t0: [12:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 1 vu: ml st: Stopped id: Promote w/fiber t0: [12:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [12:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [12:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [11:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Ativan t0: [11:30:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 20 su: ml rt: IV Drip st: Stopped id: Insulin t0: [11:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:30:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 120 n1: 120 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Temp. Site t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ativan el: 1 t0: [12:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 13186
id: Ativan t0: [12:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [12:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Free Water Bolus t0: [12:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml
id: Pain Present t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: ETT Mark/Location t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: HOB t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Resp Rate (Total) t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Pattern t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Spontaneous Movement t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Relative st: NotStopd id: Tidal Volume (Spont) t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Turn t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [10:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [14:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [13:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [14:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Chest Tubes Right Pleural 1 t0: [14:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 400 vu: ml id: Urine Out Foley t0: [14:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [13:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [14:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [13:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [13:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 08/07/2014] el: 1 cg: -1 cu: CCU cv: 35 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 212 n1: 212 rs: Manual st: NotStopd
id: Service Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Arterial BP t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 114 n1: 114 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Resp Rate (Total) t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator No. t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: calprevflg t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ativan t0: [14:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [14:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 119 n1: 119 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Color/Consist t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [15:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 7 vu: ml id: Promote w/fiber t0: [15:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 08/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [15:00:00 08/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml
id: Ativan t0: [15:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [15:00:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 13.2 n1: 13.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 710 n1: 710 u1: ml/B st: NotStopd id: Ventilator No. t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [17:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Stool Guaiac el: 0 t0: [17:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 12886
id: Pain Present t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Heart Rate t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: ImpSkin Character #1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Hot v2: Dry st: NotStopd id: Spontaneous Movement t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Stool Guaiac t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 rs: Manual st: NotStopd id: Bowel Sounds t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [17:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Promote w/fiber t0: [17:00:00 08/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [17:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 500mcghr Fentanyl t0: [17:00:00 08/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Ativan t0: [17:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [17:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: Deg. C st: NotStopd id: calprevflg t0: [18:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ativan t0: [18:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 20 su: ml rt: IV Drip id: Insulin t0: [18:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Turn t0: [17:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd
id: ALT t0: [17:22:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 68 n1: 68 rs: Final st: NotStopd
id: D5W 40.0ml + 40mghr Ativan t0: [18:01:00 08/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml id: Free Water Bolus t0: [18:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [18:00:00 08/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: Temp. Site t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: Temperature F t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 101.3 n1: 101.3 u1: Deg. F st: NotStopd id: calprevflg t0: [18:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [18:30:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CoolingDevice/Status el: 0 t0: [19:00:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 12766
id: CoolingDevice/Status t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Cooling Blanket v2: On st: NotStopd
id: Fingerstick Glucose t0: [19:00:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: IV #3 Insert Date t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Arterial BP t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: % st: NotStopd id: SpO2 t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [19:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Promote w/fiber t0: [20:00:00 08/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml
id: Insulin t0: [19:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 08/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: LDH el: 0 t0: [17:22:00 08/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 12864
id: Service Type t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 39.5556 n1: 39.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 103.2 n1: 103.2 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [21:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [20:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 170 vu: ml
id: Promote w/fiber t0: [21:00:00 08/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 rs: Manual st: NotStopd
id: Range of Motion t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: CoolingDevice/Status t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Diet Type t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Position Change t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Hot v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Turn t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [21:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: D5W 100.0ml t0: [21:00:00 08/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [21:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Tube Feeds In Total t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU cv: 1365 ac: 24 ap: none re: 0
id: Art.pH t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:56:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [22:00:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 167 n1: 167 rs: Manual st: NotStopd
id: Service Type t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [22:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:30:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [22:30:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Total Hourly Output t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 130 cv: 130 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 130 cv: 2125 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 130 cv: 2160 ac: 24 ap: none re: 0
id: Gastric Meds t0: [22:30:00 08/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 40 cv: 1100 ac: 24 ap: none re: 0
id: INR (2-4 ref. range) t0: [22:15:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:15:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [22:15:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 26.1 n1: 26.1 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:30:00 08/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml
id: IV Infusion In Total t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 265 cv: 877.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 305 cv: 3342.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 175 cv: 1182.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 175 cv: -12699.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 08/07/2014] el: 1 cg: RN cu: CCU pv: 175 cv: 175 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [23:00:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 195 n1: 195 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10.6 n1: 10.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [23:30:00 08/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin el: 1 t0: [23:30:00 08/07/2014] tf: [05:00:00 09/07/2014] cu: CCU dt: 330
id: Insulin t0: [23:30:00 08/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:45:00 08/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [23:45:00 08/07/2014] el: 2 ai: 112 cg: -1 cu: CCU vo: 0 vu: ml uu: Units nb: 1
id: Insulin t0: [23:45:00 08/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 111 n1: 111 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Insulin t0: [00:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 12 cv: 1077.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 40 cv: 2320 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 40 cv: 2520 ac: 24 ap: carryForward re: 0
id: Temp. Site t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: Deg. F st: NotStopd
id: Service Type t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 116 n1: 116 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Procedures t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Line Placement st: NotStopd id: Procedures t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Line Cultured st: NotStopd id: Respiratory Rate t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:15:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [00:15:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fresh Frozen Plasma el: 2 t0: [00:15:00 09/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 2505
id: Fresh Frozen Plasma t0: [00:15:00 09/07/2014] el: 2 ai: 112 cg: -1 cu: CCU vo: 352 vu: ml uu: Units id: Fresh Frozen Plasma t0: [00:45:00 09/07/2014] el: 2 ai: 112 cg: -1 cu: CCU vo: 327 vu: ml uu: Units
id: 24h Total In t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 77 cv: 4241.25 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 37 cv: 1721.25 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 37 cv: -10978.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 37 cv: 37 ac: 1 ap: none re: 0 id: Blood Products Total t0: [23:00:00 09/07/2014] el: 1 cg: 140 cu: CCU cv: 1054 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [00:30:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [01:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 11.7 n1: 11.7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [03:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: INV Line#1 D/C Date t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Sterile Water 100.0ml t0: [04:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: INV Line#1 D/C Date el: 0 t0: [02:00:00 09/07/2014] tf: [04:00:00 09/07/2014] cu: CCU dt: 120 id: INV Line#3 Type/Site el: 0 t0: [02:00:00 09/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 4440 id: INV Line#3InsertDate el: 0 t0: [02:00:00 09/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 4440 id: INV Line#3SiteAppear el: 0 t0: [02:00:00 09/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 2400
id: Pain Present t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: CoolingDevice/Status t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: CoolingDevice/Status t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Diet Type t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Eye Opening t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Follows Commands t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GCS Total t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: GU Cath Insert Date t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Insert Date t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Dangle st: NotStopd id: Activity t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Rash st: NotStopd id: ImpSkin Character #3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Rash st: NotStopd id: ImpSkin Drain/Amt #3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt #3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Orientation t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 121 n1: 121 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Location t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Type t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: BehaviorSubsided st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Color t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: Skin Temp/Condition t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Temperature F t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Turn t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU rs: Manual st: NotStopd id: Fingerstick Glucose t0: [01:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 267 n1: 267 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [02:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 217 n1: 217 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [03:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Crepitus t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Drainage t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Dressing t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml el: 1 t0: [01:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 12406
id: D5W 100.0ml t0: [02:00:00 09/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 15 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [01:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Gastric Meds t0: [02:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 11.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 7 vu: ml id: Free Water Bolus t0: [02:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [02:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 220 vu: ml id: Urine Out Foley t0: [04:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Insulin t0: [02:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 115 n1: 115 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 17.2 n1: 17.2 rs: Final st: NotStopd id: CaO2 t0: [04:57:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 11.65 n1: 11.65 u1: ml/dl st: NotStopd id: Hematocrit t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 395 n1: 395 rs: Final st: NotStopd id: RBC t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 3.38 n1: 3.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 17.2 n1: 17.2 rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 25.7 n1: 25.7 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: Off st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Eye Opening t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 118 n1: 118 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 132 n1: 132 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Assistance Device t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Turn t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Verbal Response t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 rs: Manual st: NotStopd
id: Insulin el: 1 t0: [06:00:00 09/07/2014] tf: [14:00:00 09/07/2014] cu: CCU dt: 480
id: Insulin t0: [04:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [05:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Insulin t0: [06:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN (6-20) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd
id: Creatinine (0-1.3) t0: [04:45:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 11.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Free Water Bolus t0: [06:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [06:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: CVP el: 0 t0: [06:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 12106
id: CVP t0: [06:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd
id: ETT Mark/Location t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 11.7 n1: 11.7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7.6 n1: 7.6 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [06:00:00 09/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Insulin t0: [07:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tubes Right Pleural 1 t0: [05:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Range of Motion t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Arterial BP t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Reason For Restraint t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: calprevflg t0: [08:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Insulin t0: [08:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 200 n1: 200 rs: Manual st: NotStopd id: Bowel Sounds t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Gastric Meds t0: [09:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [09:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Insulin t0: [09:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 12.2 n1: 12.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: SpO2 t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [09:39:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 352 n1: 352 rs: Manual st: NotStopd
id: Insulin t0: [10:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT Splint Loc/Stat#1 el: 0 t0: [10:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 11866 id: PT Splint Loc/Stat#2 el: 0 t0: [10:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 11866
id: Range of Motion t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: CoolingDevice/Status t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Cooling Blanket v2: Off st: NotStopd id: Family Communication t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Sputum Color/Consist t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Turn t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Braden Activity t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 t0: [11:00:00 09/07/2014] tf: [14:00:00 09/07/2014] cu: CCU dt: 180
id: D5W 100.0ml t0: [11:00:00 09/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [11:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Service Type t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: 301 n1: 301 rs: Manual st: NotStopd
id: Insulin t0: [11:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 11 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: I:E Ratio t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Peak Insp. Pressure t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Plateau Pressure t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Rec. Breath Pressure t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Rec.Breath Time(sec) t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Recruit Breath t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Spont) t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Rate Set t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Sensitivity-Vent t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Obser) t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Set) t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Waveform-Vent t0: [12:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: ETT Mark/Location t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 9.5 n1: 9.5 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [12:10:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [12:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [12:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Color/Consist el: 0 t0: [13:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 11686 id: Stool Management el: 0 t0: [13:00:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 11686 id: Blood Products el: 0 t0: [12:40:00 09/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 11706
id: Pain Present t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Pain Location t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Turn t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Products t0: [12:40:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd id: Bowel Sounds t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [09:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Fluctuate/Leak t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [13:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: D5W 100.0ml t0: [13:00:00 09/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [13:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 23 vu: ml id: Free Water Bolus t0: [13:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [13:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Insulin t0: [13:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 rs: Manual st: NotStopd
id: Insulin t0: [14:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Promote w/fiber el: 1 t0: [14:00:00 09/07/2014] tf: [07:30:00 11/07/2014] cu: CCU dt: 2490
id: .9% Normal Saline 1000.0ml t0: [14:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [14:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [14:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Art.pH t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:35:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Range of Motion t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Reason For Restraint t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Turn t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: calprevflg t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 09/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Packed RBC's t0: [15:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1 id: Promote w/fiber t0: [15:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Fingerstick Glucose t0: [15:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: 53 n1: 53 rs: Manual st: NotStopd
id: Service Type t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [15:15:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Significant Events t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:30:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:30:00 09/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml
id: Pain Present t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:05:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 163 n1: 163 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: Promote w/fiber t0: [16:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Insulin el: 1 t0: [16:00:00 09/07/2014] tf: [06:00:00 12/07/2014] cu: CCU dt: 3720
id: Insulin t0: [16:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:05:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 9.6 n1: 9.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 710 n1: 710 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [16:00:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Temp. Site t0: [17:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 09/07/2014] el: 0 cg: CoWker cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd
id: PEEP Set t0: [16:43:00 09/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Range of Motion t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV#2 WaveformAppear t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Arterial BP t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Reason For Restraint t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: calprevflg t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 t0: [17:00:00 09/07/2014] tf: [01:00:00 12/07/2014] cu: CCU dt: 3360
id: .9% Normal Saline 1000.0ml t0: [17:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml id: Promote w/fiber t0: [17:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml
id: Fingerstick Glucose t0: [17:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 268 n1: 268 rs: Manual st: NotStopd
id: Insulin t0: [17:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Source/Amt t0: [17:45:00 09/07/2014] el: 0 cg: RT cu: CCU v1: Suctioned v2: None st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 262 n1: 262 rs: Manual st: NotStopd
id: Range of Motion t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Reason For Restraint t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Turn t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's el: 1 t0: [19:00:00 09/07/2014] tf: [18:00:00 10/07/2014] cu: CCU dt: 1380
id: TF Residual t0: [18:00:00 09/07/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Packed RBC's t0: [19:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml id: Free Water Bolus t0: [18:00:00 09/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [18:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [19:00:00 09/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Chest Tubes Right Pleural 1 t0: [18:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [19:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Insulin t0: [18:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Fecal Bag el: 1 t0: [19:00:00 09/07/2014] tf: [18:00:00 14/07/2014] cu: CCU dt: 7140
id: Stool Out Fecal Bag t0: [19:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Fingerstick Glucose t0: [19:00:00 09/07/2014] el: 0 cg: RN cu: CCU v1: 255 n1: 255 rs: Manual st: NotStopd
id: Insulin t0: [19:00:00 09/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Previous Weight t0: [17:00:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [18:00:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [23:30:00 08/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Arterial Base Excess t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:08:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 09/07/2014] el: 1 cg: 140 cu: CCU cv: 1460 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 09/07/2014] el: 1 cg: 140 cu: CCU cv: 150 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 33.6 n1: 33.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 10.2 n1: 10.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 16.5 n1: 16.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 710 n1: 710 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: BUN (6-20) t0: [19:06:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Chloride (100-112) t0: [19:06:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [19:06:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:06:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [19:06:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 136 n1: 136 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [20:00:00 09/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Insulin t0: [20:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: CaO2 t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 10.9033 n1: 10.9033 u1: ml/dl st: NotStopd id: Hematocrit t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 u1: % rs: Final st: NotStopd id: SaO2 t0: [21:49:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 93 n1: 93 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 115 n1: 115 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [21:45:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [21:00:00 09/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [21:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 80 vu: ml
id: Insulin t0: [21:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 10 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:45:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 121 n1: 121 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CT #1 Fluctuate/Leak t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: CT #1 Suction Amount t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Temperature F t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 9.25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 09/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 7 vu: ml id: Promote w/fiber t0: [22:00:00 09/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [23:00:00 09/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vo: 40 vu: ml
id: Tube Feeds In Total t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU pv: 65 cv: 650 ac: 24 ap: none re: 0
id: Diet Type t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Eye Opening t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: Fingerstick Glucose t0: [23:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 rs: Manual st: NotStopd
id: Insulin t0: [22:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 09/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 33.6 n1: 33.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 740 n1: 740 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Free Water Bolus t0: [00:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [00:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 40 vu: ml
id: Insulin t0: [00:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 1000 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [01:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Stool Out Fecal Bag t0: [21:00:00 09/07/2014] el: 1 cg: -1 cu: CCU vu: ml es: Medium
id: IV Infusion In Total t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 654 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 3149 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 09/07/2014] el: 1 cg: -1 cu: CCU cv: 50 ac: 24 ap: carryForward re: 0 id: Tube Feeds In Total t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 1495 ac: 24 ap: none re: 0
id: Code Status t0: [00:45:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Precautions t0: [00:45:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd
id: Insulin t0: [00:45:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Obese st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Pain Location t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [20:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Type t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Urine Out Foley t0: [01:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 145 vu: ml
id: Insulin t0: [01:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#2 Type/Site t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: IV #3 Insert Date t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Insert Date t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [21:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd
id: Service Type t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [02:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 340 vu: ml
id: Insulin t0: [02:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml
id: ETT Mark/Location t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 33.9 n1: 33.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 112 n1: 112 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 10/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: TF Residual t0: [01:00:00 10/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [03:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [04:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [04:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 240 vu: ml
id: Insulin t0: [03:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [04:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 7.52 n1: 7.52 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 7.52 n1: 7.52 rs: Final st: NotStopd id: Hematocrit t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: SaO2 t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: CaO2 t0: [04:32:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 12.9142 n1: 12.9142 u1: ml/dl st: NotStopd id: Hematocrit t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 31.2 n1: 31.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 357 n1: 357 rs: Final st: NotStopd id: RBC t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 3.86 n1: 3.86 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd
id: Blood Products t0: [05:30:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd
id: Service Type t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 112 n1: 112 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Differential-Bands t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [05:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Insulin t0: [05:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ALT t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: BUN (6-20) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 148 n1: 148 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: Off st: NotStopd id: Diet Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: ETT Mark/Location t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: Abdominal Assessment t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Obese st: NotStopd id: IV #3 Insert Date t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 142 n1: 142 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: RLL Lung Sounds t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Turn t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Logroll st: NotStopd id: Turn t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Glucose (70-105) t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 rs: Manual st: NotStopd id: Braden Activity t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [06:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Stool Out Fecal Bag t0: [06:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 60 vu: ml
id: Insulin t0: [06:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Pain Assess Method t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Family Communication t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: GI#1 Tube PlaceCheck t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: Imp Skin Cleanse #1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Imp Skin Cleanse #3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Character #1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Character #2 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Character #3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Drain/Amt #3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt #3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Drain/Amt#1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Drain/Amt#2 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Treatment #1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Treatment #2 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Treatment #3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Wound Base#1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Wound Base#2 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Wound Base#3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Position Change t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Position Change t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Reason For Restraint t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Removed x 5 Mins t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Restraint Location t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Location t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Restraint Type t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Restraints Evaluated t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Side Rails t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Skin Color t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Pale st: NotStopd id: Skin Color t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Skin Integrity t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Skin Temp/Condition t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Skin Temp/Condition t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Support Systems t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Support Systems t0: [19:00:00 09/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Behavior t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Activity t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Frict/Shear t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Mobility t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Moisture t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Nutrition t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Braden Score t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU u1: number st: NotStopd id: Braden SensoryPercep t0: [02:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [07:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd
id: Glucose (70-105) t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 rs: Manual st: NotStopd
id: Service Type t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Arterial BP t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 131 n1: 131 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Previous WeightF t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ventilator No. t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: calprevflg t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [08:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [08:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 150 vu: ml
id: Insulin t0: [08:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd
id: FiO2 Set t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 9.6 n1: 9.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: White st: NotStopd id: Sputum Source/Amt t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:25:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Glucose (70-105) t0: [09:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Obese st: NotStopd id: Imp Skin Cleanse #1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 134 n1: 134 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Color t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [10:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [10:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Insulin t0: [10:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose (70-105) t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Pressure Support t0: [11:00:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd
id: Glucose (70-105) t0: [12:00:00 10/07/2014] el: 0 cg: CoWker cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: SpO2 t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: Ventilator Mode t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Flow-By (lpm) t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [12:15:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd
id: Service Type t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [12:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [12:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 220 vu: ml
id: Insulin t0: [12:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CoolingDevice/Status t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: Off st: NotStopd id: HOB t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: SpO2 t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Turn t0: [08:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Turn t0: [10:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd
id: Stool Out Fecal Bag t0: [08:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Stool Out Total t0: [23:00:00 10/07/2014] el: 1 cg: -1 cu: CCU cv: 200 ac: 24 ap: none re: 0
id: Glucose (70-105) t0: [13:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 141 n1: 141 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [13:00:00 10/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [14:00:00 10/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [14:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [14:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 300 vu: ml
id: Art.pH t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 7.54 n1: 7.54 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:37:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 7.54 n1: 7.54 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 145 n1: 145 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Glucose (70-105) t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [15:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml
id: Service Type t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Arterial BP t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 157 n1: 157 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature C (calc) t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 101.3 n1: 101.3 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [15:18:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [15:18:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:18:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd
id: ETT Position Change el: 0 t0: [16:30:00 10/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 10036
id: ETT Mark/Location t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 21cm v2: Lip st: NotStopd id: ETT Position Change t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 15.2 n1: 15.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [16:30:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: CVP t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 151 n1: 151 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [16:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Chest Tube Site #1 t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Eye Opening t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Obese st: NotStopd id: IV #3 Insert Date t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Turn t0: [14:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Turn t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [16:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd
id: SpO2 t0: [17:22:00 10/07/2014] el: 0 cg: RT cu: CCU v1: 90 n1: 90 u1: % st: NotStopd
id: BUN (6-20) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 179 n1: 179 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:40:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Glucose (70-105) t0: [17:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Insulin t0: [14:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [15:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [13:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Packed RBC's t0: [18:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 0 st: D/C'd id: Fresh Frozen Plasma t0: [18:00:00 10/07/2014] el: 2 ai: 112 cg: -1 cu: CCU vo: 0 st: D/C'd id: Chest Tubes Right Pleural 1 t0: [18:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: CVP t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 148 n1: 148 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [18:00:00 10/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [18:00:00 10/07/2014] el: 1 cg: -1 cu: CCU vo: 160 vu: ml
id: Insulin t0: [18:00:00 10/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temperature C (calc) t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd
id: Free Water Bolus t0: [12:00:00 10/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml
id: ETT Mark/Location t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 32.5 n1: 32.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 10.4 n1: 10.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 17.4 n1: 17.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: . st: NotStopd id: Pressure Support t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 10/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Range of Motion t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #3 Insert Date t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Bowel Sounds t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Glucose (70-105) t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 172 n1: 172 rs: Manual st: NotStopd id: CT #1 Crepitus t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [20:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [20:00:00 10/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [20:00:00 10/07/2014] el: 1 cg: RN cu: CCU vo: 135 vu: ml
id: Insulin t0: [20:00:00 10/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [22:00:00 10/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [22:00:00 10/07/2014] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Insulin t0: [22:00:00 10/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 2415 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 534 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: -10444.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/07/2014] el: 1 cg: 140 cu: CCU cv: 2615 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 32.5 n1: 32.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 10.1 n1: 10.1 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 15.4 n1: 15.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [00:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [00:00:00 11/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [00:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Insulin t0: [00:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [02:00:00 11/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [02:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Insulin t0: [02:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Flow-By (lpm) t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 33.7 n1: 33.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 10.6 n1: 10.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Range of Motion t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #3 Insert Date t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Urine Source t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: D5W 100.0ml t0: [02:00:00 11/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Free Water Bolus t0: [00:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Free Water Bolus t0: [04:00:00 11/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Free Water Bolus t0: [21:00:00 10/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [04:00:00 11/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Promote w/fiber t0: [06:00:00 11/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [04:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 375 vu: ml id: Urine Out Foley t0: [06:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Insulin t0: [04:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:00:00 11/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose (70-105) t0: [04:00:00 11/07/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [07:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 240 vu: ml
id: Insulin t0: [07:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal el: 0 t0: [08:00:00 11/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 1200 id: INV Line#2SiteAppear el: 0 t0: [08:00:00 11/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 1200 id: INV Line#3SiteAppear el: 0 t0: [08:00:00 11/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 1200 id: INV#2 WaveformAppear el: 0 t0: [08:00:00 11/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 1200 id: IV Site Appear #3 el: 0 t0: [08:00:00 11/07/2014] tf: [15:00:00 16/07/2014] cu: CCU dt: 7620
id: Range of Motion t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: CVP t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bleeding st: NotStopd id: Activity Tolerance t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 136 n1: 136 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Stool Management t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 39.2222 n1: 39.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 102.6 n1: 102.6 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Dressing t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [07:30:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 32.5 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 80 vu: ml
id: Insulin t0: [08:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Radiologic Study t0: [08:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Chest Xray st: NotStopd
id: TF Residual t0: [08:30:00 11/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:30:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 30 vu: ml id: Free Water Bolus t0: [08:30:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml
id: Art.pH t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Previous Weight t0: [02:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [04:00:00 10/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [13:00:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [20:00:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous Weight t0: [23:00:00 09/07/2014] el: 0 cg: 140 cu: CCU v1: 87.2 n1: 87.2 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 10/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 10/07/2014] el: 0 cg: -1 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [16:05:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Arterial Base Excess t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 70 n1: 70 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:33:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: Hematocrit t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 32.4 n1: 32.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 397 n1: 397 rs: Final st: NotStopd id: RBC t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 3.99 n1: 3.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd
id: BUN (6-20) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:31:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd
id: Oral Care el: 0 t0: [09:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 9046 id: Skin Care el: 0 t0: [09:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 9046 id: Back Care el: 0 t0: [09:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 9046
id: Service Type t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: HOB t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 140 n1: 140 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 39.3333 n1: 39.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 102.8 n1: 102.8 u1: Deg. F st: NotStopd id: Turn t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Crepitus t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Changed st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [09:00:00 11/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [09:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vu: ml st: Restart id: Urine Out Foley t0: [09:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Insulin t0: [09:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 10.2 n1: 10.2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: PEEP Set t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [09:35:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 7200A st: NotStopd
io: .9% Normal Saline 1000.0ml el: 2 cg: -1 cu: CCU ra: 5 ru: ml/hr
id: Service Type t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: ETT Position Change t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 118 n1: 118 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Promote w/fiber el: 1 t0: [10:00:00 11/07/2014] tf: [10:00:00 13/07/2014] cu: CCU dt: 2880
id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [10:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 32.5 vu: ml id: Urine Out Foley t0: [10:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 45 vu: ml
id: Insulin t0: [10:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [11:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Insulin t0: [11:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CoolingDevice/Status t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: HOB t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Sputum Color/Consist t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Turn t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd
id: .9% Normal Saline 1000.0ml el: 2 t0: [11:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8926
id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 40 vu: ml
id: FiO2 Set t0: [11:30:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Pressure Support t0: [11:30:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd
id: Range of Motion t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bleeding st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Dressing t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [12:00:00 11/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Gastric Meds t0: [12:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Free Water Bolus t0: [12:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [12:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 60 vu: ml
id: Insulin t0: [12:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 11/07/2014] el: 0 cg: CoWker cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Art.pH t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 70 n1: 70 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:12:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [13:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [13:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 220 vu: ml
id: Insulin t0: [13:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [08:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd id: Glucose (70-105) t0: [07:00:00 11/07/2014] el: 0 cg: -1 cu: CCU rs: Manual st: NotStopd id: Glucose (70-105) t0: [08:30:00 11/07/2014] el: 0 cg: -1 cu: CCU rs: Manual st: NotStopd id: Glucose (70-105) t0: [10:00:00 11/07/2014] el: 0 cg: -1 cu: CCU rs: Manual st: NotStopd id: Glucose (70-105) t0: [11:00:00 11/07/2014] el: 0 cg: -1 cu: CCU rs: Manual st: NotStopd
id: PEEP Set t0: [12:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Service Type t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [13:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [13:30:00 11/07/2014] el: 1 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 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: HOB t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Temp. Site t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Turn t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [14:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [14:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 260 vu: ml
id: Insulin t0: [14:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd
id: Art.pH t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:28:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Service Type t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU u1: mmHg st: NotStopd id: Code Status t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [14:30:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [14:30:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [15:00:00 11/07/2014] el: 0 cg: CoWker cu: CCU v1: 179 n1: 179 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 140 n1: 140 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [15:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Promote w/fiber t0: [15:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 260 vu: ml
id: Insulin t0: [15:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [15:55:00 11/07/2014] el: 0 cg: CRT cu: CCU v1: 7200A st: NotStopd
id: INV Line#1 Type/Site el: 0 t0: [16:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8626 id: INV Line#1 Zero/Cal el: 0 t0: [16:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8626 id: INV Line#1InsertDate el: 0 t0: [16:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8626 id: INV Line#1SiteAppear el: 0 t0: [16:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8626 id: INV#1 WaveformAppear el: 0 t0: [16:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8626
id: Service Type t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 160 n1: 160 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 144 n1: 144 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 101.4 n1: 101.4 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 11/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [16:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml
id: Insulin t0: [16:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#2 D/C Date el: 0 t0: [16:00:00 11/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 720
id: Range of Motion t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: CoolingDevice/Status t0: [12:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: Off st: NotStopd id: Diet Type t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Eye Opening t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 14 n2: 14 st: NotStopd id: HOB t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Activity t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Turn t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Dressing t0: [16:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: Urine Out Foley t0: [16:30:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 360 vu: ml
id: Urine Out Foley t0: [16:45:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 300 vu: ml
id: Service Type t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Family Communication t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 140 n1: 140 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [17:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Fingerstick Glucose t0: [17:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 210 n1: 210 rs: Manual st: NotStopd
id: Urine Out Foley t0: [17:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml
id: Insulin t0: [17:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Previous WeightF t0: [17:00:00 09/07/2014] el: 0 cg: 140 cu: CCU u1: kg st: NotStopd id: Arterial Base Excess t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 64 n1: 64 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:35:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 147 n1: 147 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [16:00:00 11/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Free Water Bolus t0: [16:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [18:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 280 vu: ml
id: Insulin t0: [18:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU cv: 1560 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: BUN (6-20) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 209 n1: 209 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:00:00 11/07/2014] el: 0 cg: 140 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: IV Site Appear #2 el: 0 t0: [19:00:00 11/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 8446
id: Service Type t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: IV #2 Insert Date t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 148 n1: 148 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [19:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 11/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml
id: Insulin t0: [19:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU cv: 4030 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU cv: 4030 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [19:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Plateau-Off t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pressure Support t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [19:00:00 11/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: Plateau-Off t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: ETT Mark/Location t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 34.1 n1: 34.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 10.8 n1: 10.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: 7200A st: NotStopd
id: Sputum Color/Consist t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 12/07/2014] el: 0 cg: rrt cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Pain Present t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 128 n1: 128 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 156 n1: 156 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 151 n1: 151 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 150 n1: 150 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 11/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [00:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [20:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [21:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [22:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [23:00:00 11/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Insulin t0: [20:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 11/07/2014] el: 1 cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 15 cv: 791 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 1011 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 80 cv: 3846 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 4426 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 65 cv: 1495 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 1495 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 80 cv: -184 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 1496 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 80 cv: -10628.2 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: -9132.25 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/07/2014] el: 1 cg: -1 cu: CCU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0
id: ETT Mark/Location t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 10.8 n1: 10.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 12/07/2014] el: 0 cg: RRT cu: CCU v1: 7200A st: NotStopd
id: INV Line#2 D/C Date t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 D/C Date t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Type/Site t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 144 n1: 144 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 152 n1: 152 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [01:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 217 n1: 217 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [03:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 247 n1: 247 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [23:00:00 11/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 t0: [03:00:00 12/07/2014] tf: [13:00:00 13/07/2014] cu: CCU dt: 2040 id: Urine Out Foley el: 1 t0: [04:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7906
id: D5W 100.0ml t0: [02:00:00 12/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: Gastric Meds t0: [00:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 3 vu: ml id: Free Water Bolus t0: [00:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [01:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [02:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [03:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [04:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 650 vu: ml id: Urine Out Foley t0: [01:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 450 vu: ml
id: Insulin t0: [01:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 367 n1: 367 rs: Final st: NotStopd id: SaO2 t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: INV Line#3 D/C Date el: 0 t0: [00:00:00 12/07/2014] tf: [04:00:00 12/07/2014] cu: CCU dt: 240
id: Range of Motion t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: Follows Commands t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: GU Cath Insert Date t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 6 n2: 6 st: NotStopd id: INV Line#3 D/C Date t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 15 n2: 15 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Insert Date t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Insert Date t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Transparent st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Transparent st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 1 cm st: NotStopd id: ImpSkin Wth/Lth #3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 1 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Oral Care t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Oral Cavity t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 1 st: NotStopd id: Orientation t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Position t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Skin Care t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Skin Care t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Skin Color t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Color t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: Skin Temp/Condition t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Hot v2: Dry st: NotStopd id: Spontaneous Movement t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Turn t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Back Care t0: [02:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Back Care t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Behavior t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Crepitus t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Straw st: NotStopd id: CT #1 Drainage t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Changed st: NotStopd id: CT #1 Dressing t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: Insulin t0: [04:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 20.3 n1: 20.3 rs: Final st: NotStopd id: CaO2 t0: [04:11:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 13.8248 n1: 13.8248 u1: ml/dl st: NotStopd id: Hematocrit t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 33.2 n1: 33.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 347 n1: 347 rs: Final st: NotStopd id: RBC t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 3.98 n1: 3.98 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 20.3 n1: 20.3 rs: Final st: NotStopd
id: BUN (6-20) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 357 n1: 357 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 148 n1: 148 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [05:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 472 n1: 472 rs: Manual st: NotStopd
id: Insulin t0: [05:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 7 vu: ml id: Promote w/fiber t0: [05:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 280 vu: ml id: Urine Out Incontinent t0: [01:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vu: ml es: Large
id: Insulin t0: [00:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Differential-Bands t0: [04:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 141 n1: 141 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Temperature F t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 500+ rs: Manual st: NotStopd
id: Insulin t0: [06:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 12 vu: ml id: Free Water Bolus t0: [06:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [06:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 80 vu: ml
id: Service Type t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 152 n1: 152 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 12 vu: ml id: Promote w/fiber t0: [07:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Insulin el: 1 t0: [07:00:00 12/07/2014] tf: [10:00:00 12/07/2014] cu: CCU dt: 180
id: Insulin t0: [07:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 13.6142 n1: 13.6142 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Glucose (70-105) t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 437 n1: 437 rs: Final st: NotStopd id: SaO2 t0: [07:08:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Pressure Support t0: [07:31:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd
id: FiO2 Set t0: [07:31:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: PEEP Set t0: [07:31:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd
id: Art.pH t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:27:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 268 n1: 268 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Level of Conscious t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Reason For Restraint t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Hot v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [08:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Promote w/fiber t0: [08:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Insulin t0: [08:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Promote w/fiber t0: [09:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml
id: Insulin t0: [09:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Diltiazem io: D5W 125.0ml + 125mghr Diltiazem el: 100 cg: RN cu: CCU am: 125 du: mghr rt: IV Drip
io: D5W 125.0ml + 125mghr Diltiazem el: 1 cg: RN cu: CCU ra: 5 ru: ml/hr
id: Compliance (40-60ml) el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Peak Flow el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Peak Insp. Pressure el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Plateau Pressure el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Resp Rate (Spont) el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Respiratory Rate Set el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Sensitivity-Vent el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546 id: Tidal Volume (Set) el: 0 t0: [10:00:00 12/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 7546
id: Compliance (40-60ml) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 24.7525 n1: 24.7525 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 15.1 n1: 15.1 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 30.2 n1: 30.2 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 28.4 n1: 28.4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Set) t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [10:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Temp. Site t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [10:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Free Water Bolus t0: [09:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [10:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [10:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Diltiazem el: 1 t0: [10:00:00 12/07/2014] tf: [18:00:00 12/07/2014] cu: CCU dt: 480
id: Diltiazem t0: [10:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Insulin t0: [10:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 200 cg: RN cu: CCU am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 2 cg: RN cu: CCU ra: 2.5 ru: ml/hr
id: Service Type t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 125.0ml + 125mghr Diltiazem el: 1 t0: [11:00:00 12/07/2014] tf: [13:00:00 13/07/2014] cu: CCU dt: 1560
id: .9% Normal Saline 1000.0ml t0: [11:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [11:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [11:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml
id: Fentanyl el: 2 t0: [11:00:00 12/07/2014] tf: [07:00:00 13/07/2014] cu: CCU dt: 1200 id: Insulin el: 1 t0: [11:00:00 12/07/2014] tf: [12:00:00 12/07/2014] cu: CCU dt: 60
id: Diltiazem t0: [11:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:43:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Pain Present t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [12:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Free Water Bolus t0: [12:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [12:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [12:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: Chest Tube Site #1 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Insulin el: 1 t0: [12:30:00 12/07/2014] tf: [13:00:00 13/07/2014] cu: CCU dt: 1470
id: Insulin t0: [12:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Insulin t0: [12:30:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Arterial BP t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 95 n1: 95 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 40.5556 n1: 40.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 105 n1: 105 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 12/07/2014] el: 2 cg: CoWker cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 32.8947 n1: 32.8947 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 34.1 n1: 34.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 12.3 n1: 12.3 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 25.2 n1: 25.2 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 27.6 n1: 27.6 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [13:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Ectopy Frequency t0: [13:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd
id: Service Type t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [14:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Promote w/fiber t0: [14:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [14:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Fentanyl t0: [14:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:30:00 12/07/2014] el: 0 cg: CoWker cu: CCU v1: 182 n1: 182 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [15:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Promote w/fiber t0: [15:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Fentanyl t0: [15:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#3 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [12:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [14:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Side Rails t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Temp. Site t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 39.4444 n1: 39.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: Deg. F st: NotStopd id: Turn t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [16:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Free Water Bolus t0: [16:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Promote w/fiber t0: [16:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Diltiazem t0: [12:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [13:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [14:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [15:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 148 n1: 148 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [17:00:00 12/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml
id: Compliance (40-60ml) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 16.4 n1: 16.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 22.3 n1: 22.3 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [18:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 12/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [18:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 12/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [18:00:00 12/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [18:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Diltiazem t0: [17:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 12/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 12/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:07:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 222 n1: 222 rs: Final st: NotStopd
id: Urine Out Incontinent t0: [19:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Diet Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: ETT Mark/Location t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Oral Cavity t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [16:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 112 n1: 112 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 101 n1: 101 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Pain Location t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Position Change t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Precautions t0: [16:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Significant Events t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Cardioversion st: NotStopd id: Skin Care t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Skin Color t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Temp. Site t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Turn t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:15:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:20:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:25:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:35:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:40:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:45:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:50:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:55:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [19:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [19:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Diltiazem t0: [16:15:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:20:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:25:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:30:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:35:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:40:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:45:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [18:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 20 du: mghr so: D5W sv: 125 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [16:15:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:20:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:25:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:30:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:35:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:40:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:45:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:15:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:20:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:25:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:30:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:35:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:40:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:45:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:50:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:55:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:15:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:20:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:25:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:30:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:35:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:40:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:45:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:15:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:20:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:25:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:30:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:35:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:40:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:45:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:50:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:55:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [19:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN (6-20) t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 58 n1: 58 rs: Final st: NotStopd id: Carbon Dioxide t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:00:00 12/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 11.9 n1: 11.9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 113 n1: 113 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 124 n1: 124 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [20:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 174 n1: 174 rs: Manual st: NotStopd id: Glucose (70-105) t0: [21:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [20:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 40 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [21:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [20:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [21:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Fentanyl t0: [20:00:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: HOB t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Oral Care t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 145 n1: 145 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Turn t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [22:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [22:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [22:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 360 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 12/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [22:00:00 12/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 12/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Fentanyl t0: [22:00:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 1920 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 2930 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 12/07/2014] el: 1 cg: -1 cu: CCU cv: 2930 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Service Type t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [00:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Promote w/fiber t0: [00:00:00 13/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [00:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Fentanyl t0: [00:00:00 13/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU pv: 109 cv: 889 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU pv: 109 cv: 2549 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/07/2014] el: 1 cg: RN cu: CCU cv: 780 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU cv: 3690 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU pv: 109 cv: -1141 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU pv: 109 cv: -10273.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU pv: 109 cv: 109 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/07/2014] el: 1 cg: -1 cu: CCU cv: 3690 ac: 24 ap: carryForward re: 0
id: Glucose (70-105) t0: [00:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Cooling Blanket v2: On st: NotStopd id: Diet Type t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 121 n1: 121 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: Skin Color t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Turn t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: calprevflg t0: [23:00:00 12/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: Fentanyl t0: [23:00:00 12/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:00:00 12/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Range of Motion t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: Heart Rate t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 154 n1: 154 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 158 n1: 158 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Precautions t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Restraint Type t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Glucose (70-105) t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd id: CT #1 Crepitus t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Positive st: NotStopd id: CT #1 Drainage t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [03:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [01:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [02:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [03:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [02:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [01:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [02:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [03:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml
id: Fentanyl t0: [01:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: -1 cu: CCU am: 25000 du: Uhr rt: IV Drip
id: Service Type t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 138 n1: 138 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [04:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [04:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [04:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 270 vu: ml
id: Fentanyl t0: [04:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Precautions t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [05:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [05:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [03:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [05:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 300 vu: ml
id: Fentanyl t0: [05:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ectopy Frequency t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 120 n1: 120 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin el: 1 t0: [01:00:00 13/07/2014] tf: [06:00:00 15/07/2014] cu: CCU dt: 3180
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 10 vu: ml
id: Heparin el: 1 t0: [00:00:00 13/07/2014] tf: [07:00:00 13/07/2014] cu: CCU dt: 420
id: Heparin t0: [00:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 164 n1: 164 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: SaO2 t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd id: CaO2 t0: [05:03:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 13.5091 n1: 13.5091 u1: ml/dl st: NotStopd id: Hematocrit t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 31.9 n1: 31.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 303 n1: 303 rs: Final st: NotStopd id: RBC t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 3.81 n1: 3.81 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 197 n1: 197 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [04:00:00 13/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [06:00:00 13/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [06:00:00 13/07/2014] el: 2 cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN (6-20) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 62 n1: 62 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 153 n1: 153 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 16.6 n1: 16.6 rs: Final st: NotStopd id: PTT(22-35) t0: [05:00:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 103.4 n1: 103.4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Assist Control st: NotStopd id: Ventilator No. t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [04:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Intubation Date t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Ventilator Mode t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [06:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: Pain Present t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v2: Off st: NotStopd id: Diet Type t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Level of Conscious t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Reason For Restraint t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Turn t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Drainage t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [07:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [07:00:00 13/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Fentanyl t0: [07:00:00 13/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Insulin t0: [07:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [08:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [08:00:00 13/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Heparin t0: [07:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Insulin t0: [08:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 379 n1: 379 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:01:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 186 n1: 186 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Flow-By (lpm) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Flow-by Sensitivity t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 34.1 n1: 34.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 11.5 n1: 11.5 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 950 n1: 950 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator No. t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [08:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: PEEP Set t0: [09:40:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Pain Present t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Arterial BP t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 18 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: Promote w/fiber t0: [09:00:00 13/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml id: Promote w/fiber t0: [10:00:00 13/07/2014] el: 1 ai: 255 cg: RN cu: CCU vo: 65 vu: ml st: Stopped id: Urine Out Foley t0: [10:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Insulin t0: [09:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [10:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose (70-105) t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 197 n1: 197 rs: Manual st: NotStopd
id: Art.pH t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:09:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 185 n1: 185 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: HOB t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: Activity Tolerance t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [10:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [11:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [08:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml
id: Heparin el: 1 t0: [08:00:00 13/07/2014] tf: [23:00:00 14/07/2014] cu: CCU dt: 2340
id: Heparin t0: [08:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pressure Support t0: [12:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: . st: NotStopd
id: Service Type t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [12:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [12:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Heparin t0: [12:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [12:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: O2 Delivery Device el: 0 t0: [13:00:00 13/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5926 id: O2 Flow (lpm) el: 0 t0: [13:00:00 13/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5926
id: ETT Mark/Location t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: SpO2 t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator No. t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [13:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd
id: D5W 125.0ml + 125mghr Diltiazem t0: [13:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 13/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Eye Opening t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: Heart Rate t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Pattern t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Spontaneous Movement t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [06:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [07:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [08:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [09:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [11:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [12:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [13:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Heparin t0: [13:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Art.pH t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 250 n1: 250 rs: Final st: NotStopd id: Ionized Calcium t0: [13:39:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 0.96 n1: 0.96 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [14:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [15:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [15:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 422 n1: 422 rs: Final st: NotStopd id: Ionized Calcium t0: [16:59:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 1.03 n1: 1.03 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Orientation t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: SpO2 t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Turn t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 13/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: Free Water Bolus t0: [16:00:00 13/07/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [17:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Heparin t0: [16:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 13/07/2014] el: 1 cg: RN cu: CCU cv: 880 ac: 24 ap: none re: 0
id: Service Type t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Fecal Bag t0: [13:00:00 13/07/2014] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Fecal Bag t0: [16:00:00 13/07/2014] el: 1 cg: RN cu: CCU vu: ml es: Large
id: Heparin t0: [18:00:00 13/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 13/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [18:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: BUN (6-20) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 61 n1: 61 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 425 n1: 425 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:57:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: GI Intub #1/Site t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Art.pH t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: CaO2 t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 12.9989 n1: 12.9989 u1: ml/dl st: NotStopd id: Ionized Calcium t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 1.03 n1: 1.03 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: SaO2 t0: [20:56:00 13/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: ETT Mark/Location t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Size t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Airway Type t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Intubation Date t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: On st: NotStopd id: PT Splint Loc/Stat#2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: On st: NotStopd id: Arterial BP t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator No. t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Ventilator Type t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 18 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [20:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [21:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 380 vu: ml
id: Heparin t0: [21:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 119 n1: 119 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: % st: NotStopd id: calprevflg t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [20:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [22:00:00 13/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Heparin t0: [22:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: ETT Mark/Location t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Airway Size t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Other/Remarks st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 133 n1: 133 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 147 n1: 147 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: Expectorated v2: Small st: NotStopd id: Temp. Site t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator No. t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 7200A st: NotStopd id: Verbal Response t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 13/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 13/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [00:00:00 14/07/2014] el: 1 cg: -1 cu: CCU vo: 180 vu: ml
id: Heparin t0: [00:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 13/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU pv: 31.5 cv: 1225.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU pv: 31.5 cv: 2065.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU cv: 1420 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU pv: 31.5 cv: 645.5 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU pv: 31.5 cv: -9627.75 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU pv: 31.5 cv: 31.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU cv: 1420 ac: 24 ap: carryForward re: 0
id: Pain Level el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Pain Level/Response el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: PainLevel Acceptable el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Ramsey SedationScale el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Pain Cause el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Pain Level (Rest) el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Pain Management el: 1 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Pain Type el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266 id: Sedation Score el: 0 t0: [00:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 5266
id: Pain Level t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 2-Mild st: NotStopd id: Pain Level/Response t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Assess Method t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Asleep, Brisk st: NotStopd id: Pain Cause t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 2-Mild st: NotStopd id: Pain Management t0: [00:00:00 14/07/2014] el: 1 cg: -1 cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Constant st: NotStopd id: Sedation Score t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Asleep, Brisk st: NotStopd
id: Art.pH t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: CaO2 t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 12.6932 n1: 12.6932 u1: ml/dl st: NotStopd id: Glucose (70-105) t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 327 n1: 327 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: SaO2 t0: [00:25:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Service Type t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 139 n1: 139 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 136 n1: 136 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 140 n1: 140 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [01:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Level of Conscious t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 141 n1: 141 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Back Care t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: D5W 100.0ml t0: [23:00:00 13/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [04:00:00 14/07/2014] el: 1 cg: -1 cu: CCU vo: 280 vu: ml
id: Heparin t0: [04:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Arterial BP t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 155 n1: 155 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 14/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 300 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml
id: Heparin t0: [05:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Glucose (70-105) t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Ionized Calcium t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.14 n1: 1.14 rs: Final st: NotStopd id: SaO2 t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 33.8 n1: 33.8 rs: Final st: NotStopd id: CaO2 t0: [05:15:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 13.8093 n1: 13.8093 u1: ml/dl st: NotStopd id: Hematocrit t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 32.9 n1: 32.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 367 n1: 367 rs: Final st: NotStopd id: RBC t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 4.03 n1: 4.03 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 33.8 n1: 33.8 rs: Final st: NotStopd
id: BUN (6-20) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 57 n1: 57 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 145 n1: 145 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 141 n1: 141 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [07:00:00 14/07/2014] el: 1 cg: -1 cu: CCU vo: 180 vu: ml
id: Heparin t0: [06:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INR (2-4 ref. range) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: PTT(22-35) t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 60.7 n1: 60.7 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 14/07/2014] el: 0 cg: CoWker cu: CCU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Promote w/fiber t0: [09:00:00 14/07/2014] el: 1 ai: 255 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Drainage t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Heparin t0: [08:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd
id: Service Type t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake el: 2 t0: [09:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 4726
id: Po Intake t0: [09:00:00 14/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 180 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [09:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [09:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Family Communication t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Braden Activity t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 237 n1: 237 rs: Manual st: NotStopd
id: Heparin t0: [10:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: MDI #1 (Puff/Drug) t0: [10:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: MDI #2 (Puff/Drug) t0: [10:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Combivent st: NotStopd
io: D5W el: 1 cg: RN cu: CCU ra: 200 ru: ml/hr
id: Differential-Bands t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd
id: Pain Level t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [09:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Cause t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [10:45:00 14/07/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:15:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [10:15:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:45:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [10:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd
id: Service Type t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 18 vu: ml id: D5W t0: [11:00:00 14/07/2014] el: 1 ai: 168 cg: RN cu: CCU vu: ml nb: 1 id: Urine Out Foley t0: [11:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Heparin t0: [11:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Type t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [11:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Nitroglycerine io: D5W 250.0ml + 100mcgmin Nitroglycerine el: 200 cg: RN cu: CCU am: 100 du: mcgmin rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 336 n1: 336 rs: Manual st: NotStopd
id: D5W el: 1 t0: [12:00:00 14/07/2014] tf: [14:00:00 14/07/2014] cu: CCU dt: 120
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:30:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 13.5 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [12:30:00 14/07/2014] el: 2 ai: 120 cg: RN cu: CCU vu: ml nb: 1 id: D5W t0: [12:00:00 14/07/2014] el: 1 ai: 168 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Turn t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W t0: [12:30:00 14/07/2014] el: 1 ai: 168 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [12:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Nitroglycerine el: 2 t0: [12:30:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 4516
id: Heparin t0: [12:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:30:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 20 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [12:35:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:35:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Level/Response t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PainLevel Acceptable t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ramsey SedationScale t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: Ramsey SedationScale t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: Service Type t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Cause t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level (Rest) t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Location t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [12:35:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Pain Management t0: [12:45:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Sedation Score t0: [12:35:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: Sedation Score t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: SpO2 t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:40:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [12:40:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:45:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:40:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 40 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:45:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 60 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ramsey SedationScale t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: Service Type t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Cause t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [12:50:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Sedation Score t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: SpO2 t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:50:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [12:50:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [12:50:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 80 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [13:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [13:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Level/Response t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: Service Type t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Cause t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [13:45:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sedation Score t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Commands st: NotStopd id: SpO2 t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine el: 2 t0: [13:00:00 14/07/2014] tf: [18:00:00 15/07/2014] cu: CCU dt: 1740
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:30:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [13:00:00 14/07/2014] el: 2 ai: 120 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [13:30:00 14/07/2014] el: 1 ai: 168 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [13:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [13:45:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [13:45:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:45:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.25 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [13:45:00 14/07/2014] el: 2 ai: 120 cg: RN cu: CCU vo: 11.25 vu: ml id: D5W t0: [14:00:00 14/07/2014] el: 1 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Procedures t0: [08:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd id: Procedures t0: [11:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Procedures t0: [13:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: CT #1 Dressing t0: [12:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 14/07/2014] el: 0 cg: CoWker cu: CCU v1: 235 n1: 235 rs: Manual st: NotStopd
id: O2 Delivery Device#2 el: 0 t0: [11:00:00 14/07/2014] tf: [08:00:00 17/07/2014] cu: CCU dt: 4140 id: O2 Flow (lpm) #2 el: 0 t0: [11:00:00 14/07/2014] tf: [08:00:00 17/07/2014] cu: CCU dt: 4140
id: Pain Present t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 21cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Size t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Airway Type t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: Intubation Date t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: O2 Delivery Device t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Ventilator No. t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator No. t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [11:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7200A st: NotStopd id: Ventilator Type t0: [13:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7200A st: NotStopd id: calprevflg t0: [14:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [14:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [14:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: ETT Mark/Location t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 9 n2: 9 st: NotStopd id: O2 Delivery Device t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Arterial BP Mean t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Ventilator No. t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: # st: NotStopd id: Ventilator Type t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 7200A st: NotStopd id: calprevflg t0: [14:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [14:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Nitroglycerine t0: [14:30:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd id: Service Type t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [15:30:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sedation Score t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd id: SpO2 t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [15:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [15:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [15:30:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level/Response t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd id: Arterial BP t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Cause t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Location t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [15:45:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Respiratory Rate t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sedation Score t0: [15:45:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd
id: CPK/MB el: 0 t0: [05:09:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 4957 id: Troponin el: 0 t0: [05:09:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 4957
id: Troponin t0: [05:09:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: BUN (6-20) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 57 n1: 57 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Fingerstick Glucose t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd id: Glucose (70-105) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:45:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd
id: Heparin t0: [16:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [16:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [17:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level/Response t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd id: Service Type t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Cause t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Location t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Chest Pain st: NotStopd id: Pain Management t0: [17:30:00 14/07/2014] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Pain Type t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Sedation Score t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Awake, Oriented st: NotStopd id: SpO2 t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [17:00:00 14/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 360 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:30:00 14/07/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 33.75 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [17:30:00 14/07/2014] el: 2 ai: 120 cg: RN cu: CCU vo: 64.5 vu: ml id: Urine Out Foley t0: [17:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [17:30:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [17:30:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Chest Tube Site #1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Eye Opening t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PT Splint Loc/Stat#1 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Position t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Turn t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Procedures t0: [17:30:00 14/07/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd
id: Stool Out Fecal Bag t0: [18:00:00 14/07/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Urine Out Foley t0: [16:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Stool Out Stool t0: [15:00:00 14/07/2014] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 14/07/2014] el: 1 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 14/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [18:00:00 14/07/2014] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [18:00:00 14/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 155 n1: 155 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Service Type t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 127 n1: 127 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 152 n1: 152 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [20:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [20:00:00 14/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [21:00:00 14/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Service Type t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 142 n1: 142 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 132 n1: 132 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [22:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 14/07/2014] el: 1 cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Nitroglycerine t0: [22:00:00 14/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [23:00:00 14/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: AntiEmbDevice/Status t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Gastric Meds t0: [00:00:00 15/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: Free Water Bolus t0: [00:00:00 15/07/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Hematocrit t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 26.9 n1: 26.9 u1: % rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: PTT(22-35) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 50.2 n1: 50.2 rs: Final st: NotStopd
id: BUN (6-20) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 64 n1: 64 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 213 n1: 213 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [23:40:00 14/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Pain Level t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 9-Severe-Worst st: NotStopd id: Pain Level/Response t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: Ramsey SedationScale t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Asleep, Sluggish st: NotStopd id: Service Type t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #3 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 143 n1: 143 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Cause t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 9-Severe-Worst st: NotStopd id: Pain Location t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg st: NotStopd id: Pain Management t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Intermittent st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Sedation Score t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Asleep, Sluggish st: NotStopd id: Side Rails t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Positive st: NotStopd id: Stool Management t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Turn t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [22:00:00 14/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 40.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 14/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [00:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [22:00:00 14/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 101.25 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [23:00:00 14/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: Urine Out Foley t0: [00:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [22:00:00 14/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Nitroglycerine t0: [00:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 10 cv: 1311.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 110 cv: 3431.25 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/07/2014] el: 1 cg: -1 cu: CCU cv: 840 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 1070 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 60 cv: 1986.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 60 cv: -7641.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 50 cv: 1445 ac: 24 ap: none re: 0
id: Imp Skin Cleanse #1 t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Drain/Amt#1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Drain/Amt#1 t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: ImpSkin Wound Base#1 t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Impaired Skin Site#1 t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd
id: Dorsal PedPulse R/L t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [22:15:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd
id: Blood Products t0: [01:07:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd
id: Service Type t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's el: 2 t0: [01:45:00 15/07/2014] tf: [05:00:00 15/07/2014] cu: CCU dt: 195 id: Hematoma Aspiration el: 1 t0: [00:45:00 15/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3781
id: Packed RBC's t0: [01:45:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 375 vu: ml uu: Units id: Hematoma Aspiration t0: [00:45:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 375 vu: ml
id: Nitroglycerine t0: [01:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [01:45:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: RL Strength/Movement el: 0 t0: [23:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3886 id: RLE/LLE Sensation el: 0 t0: [23:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3886
id: Dorsal PedPulse R/L t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RL Strength/Movement t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Moves on Bed st: NotStopd id: RLE/LLE Sensation t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd
id: RLE Aspiration Site el: 0 t0: [23:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3886 id: RLE Temp/Color el: 0 t0: [23:00:00 14/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3886
id: Chest Tube Site #1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Ace Wrap st: NotStopd id: ImpSkin Wound Base#1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 1 st: NotStopd id: PT Splint Loc/Stat#1 t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#1 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Position t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 Person Assist st: NotStopd id: RL Strength/Movement t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLE Temp/Color t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLE Temp/Color t0: [23:00:00 14/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: RLE/LLE Sensation t0: [00:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLE/LLE Sensation t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLE/LLE Sensation t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLL Lung Sounds t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Restraint Location t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Positive st: NotStopd id: Stool Management t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Turn t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Back Care t0: [22:00:00 14/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: RL Strength/Movement t0: [01:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd
id: Pain Present t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Arterial BP t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [02:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [01:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [02:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: Urine Out Foley t0: [01:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 10 vu: ml
id: Service Type t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Arterial BP t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLE Temp/Color t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Apneic st: NotStopd id: Respiratory Pattern t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Apneic st: NotStopd id: Respiratory Rate t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [03:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml
id: Nitroglycerine t0: [03:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [03:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 20 vu: ml
id: Service Type t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: HOB t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: PT Splint Loc/Stat#1 t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Precautions t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RLE Temp/Color t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: Respiratory Rate t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Turn t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Back st: NotStopd id: Back Care t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd id: calprevflg t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [04:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: Urine Out Foley t0: [04:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 15 vu: ml
id: Nitroglycerine t0: [04:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Precautions t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd
id: Packed RBC's t0: [05:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 vu: ml uu: Units id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [05:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: Urine Out Foley t0: [05:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 20 vu: ml
id: Nitroglycerine t0: [05:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Ace Wrap st: NotStopd id: ImpSkin Wound Base#1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 154 n1: 154 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Position t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Precautions t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RLE Temp/Color t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLE Temp/Color t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLE/LLE Sensation t0: [03:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLE/LLE Sensation t0: [04:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLE/LLE Sensation t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLE/LLE Sensation t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact st: NotStopd id: RLL Lung Sounds t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Apneic st: NotStopd id: Respiratory Rate t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Positive st: NotStopd id: Stool Management t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Turn t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dry and Intact st: NotStopd
id: Packed RBC's el: 2 t0: [05:45:00 15/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 3481
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 15/07/2014] el: 1 ai: 189 cg: -1 cu: CCU vu: ml id: Packed RBC's t0: [05:15:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vu: ml uu: Units id: Packed RBC's t0: [05:45:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 375 vu: ml uu: Units id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [06:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.5 vu: ml id: Urine Out Foley t0: [06:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 20 vu: ml
id: Nitroglycerine t0: [04:45:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU cv: 750 ac: 24 ap: none re: 0
id: Service Type t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Ectopy Type t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Heart Rhythm t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: mmHg u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 116 n1: 116 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: % st: NotStopd id: SpO2 t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU st: NotStopd id: Temp. Site t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: Deg. F st: NotStopd id: Temperature F t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Temperature F t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Temperature F t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [04:45:00 15/07/2014] el: 0 cg: -1 cu: CCU u1: kg st: NotStopd id: calprevflg t0: [05:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:45:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [05:45:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [06:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 224 n1: 224 rs: Final st: NotStopd id: SaO2 t0: [06:23:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Service Type t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dangle st: NotStopd id: IV Site Appear #2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None v2: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None v2: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Ace Wrap st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 1 st: NotStopd id: PT Splint Loc/Stat#1 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 136 n1: 136 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No Movement st: NotStopd id: RLE Temp/Color t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Mottled st: NotStopd id: RLE/LLE Sensation t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: Respiratory Rate t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Temp. Site t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 Inapprop words st: NotStopd id: calprevflg t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 15/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 125 vu: ml nb: 1 id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [08:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 40 vu: ml
id: Nitroglycerine t0: [08:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 15/07/2014] el: 0 cg: CoWker cu: CCU v1: 227 n1: 227 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 35.7 n1: 35.7 rs: Final st: NotStopd id: Hematocrit t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 32.6 n1: 32.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 283 n1: 283 rs: Final st: NotStopd id: RBC t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 3.91 n1: 3.91 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 35.7 n1: 35.7 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 134 n1: 134 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 122 n1: 122 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [10:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [10:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 140 vu: ml
id: Nitroglycerine t0: [09:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [10:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 150 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [11:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 133.333 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: O2 Delivery Device t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd
id: BUN (6-20) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 72 n1: 72 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 222 n1: 222 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 5.5 n1: 5.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [10:00:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [12:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 120 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd
id: Po Intake t0: [12:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [12:00:00 15/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 500 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [12:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 42.5 vu: ml id: Urine Out Foley t0: [12:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Service Type t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Arterial BP t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 111 n1: 111 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [13:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 106.667 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [14:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 106.667 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Arterial BP t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: Po Intake t0: [14:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [14:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 34 vu: ml id: Urine Out Foley t0: [14:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 180 vu: ml
id: Nitroglycerine t0: [15:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 66.6667 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 122 n1: 122 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [15:15:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 33.3333 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [16:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 33.3333 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [16:30:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Arterial BP t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 116 n1: 116 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 142 n1: 142 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine t0: [17:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine t0: [18:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [15:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [16:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 22.25 vu: ml id: Urine Out Foley t0: [16:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Hematocrit t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 31.8 n1: 31.8 u1: % rs: Final st: NotStopd
id: BUN (6-20) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 68 n1: 68 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:51:00 15/07/2014] el: 0 cg: 140 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Po Intake t0: [18:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 400 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [18:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: Service Type t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 449 n1: 449 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [20:00:00 15/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 300 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [20:00:00 15/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Nitroglycerine t0: [20:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Chest Tube Site #1 t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: CT #1 Crepitus t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: CT #1 Drainage t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: CT #1 Dressing t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt #3 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Sanguinous v2: Moderate st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 3 cm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 2 st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 121 n1: 121 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Strength st: NotStopd id: RLE Temp/Color t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dusky st: NotStopd id: RLE/LLE Sensation t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Skin Color t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Turn t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: Po Intake t0: [21:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [21:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml
id: Nitroglycerine t0: [21:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [22:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 60 vu: ml
id: Nitroglycerine t0: [22:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 142 n1: 142 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [23:00:00 15/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Nitroglycerine t0: [23:00:00 15/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 15/07/2014] el: 1 cg: -1 cu: CCU pv: 100 cv: 1370 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 3 cm v2: 3 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 2 st: NotStopd id: PT Splint Loc/Stat#1 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 130 n1: 130 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Strength st: NotStopd id: RLE Temp/Color t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dusky st: NotStopd id: RLE Temp/Color t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dusky st: NotStopd id: RLE/LLE Sensation t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Withdrawn st: NotStopd id: Behavior t0: [20:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: Withdrawn st: NotStopd id: Bowel Sounds t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [00:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 80 vu: ml
id: Nitroglycerine t0: [00:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 3 t0: [20:00:00 15/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 2626
id: .9% Normal Saline 1000.0ml t0: [00:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 15/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 15/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 15/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 15/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [01:00:00 16/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 60 vu: ml
id: Nitroglycerine t0: [01:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 830 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 1910 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 2600 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: -1390 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: -9031.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 3300 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 153 n1: 153 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Pattern t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: SpO2 t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 40 vu: ml
id: Nitroglycerine t0: [02:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 109 n1: 109 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: SpO2 t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 30 vu: ml
id: Nitroglycerine t0: [03:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Strength st: NotStopd id: RLE/LLE Sensation t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Mushroom Cath st: NotStopd id: Temperature C (calc) t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Turn t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Withdrawn st: NotStopd id: Fingerstick Glucose t0: [00:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 266 n1: 266 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [02:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [22:00:00 15/07/2014] el: 0 cg: -1 cu: CCU v1: 436 n1: 436 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Very Limited st: NotStopd
id: Po Intake t0: [04:00:00 16/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [04:00:00 16/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 45 vu: ml
id: Nitroglycerine t0: [04:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd id: Hematocrit t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 29.7 n1: 29.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 236 n1: 236 rs: Final st: NotStopd id: RBC t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 3.57 n1: 3.57 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 137 n1: 137 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 45 vu: ml
id: Nitroglycerine t0: [05:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN (6-20) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 68 n1: 68 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:55:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 120 n1: 120 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Rectal Tube el: 1 t0: [06:00:00 16/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 2026
id: .9% Normal Saline 1000.0ml t0: [06:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Stool Out Rectal Tube t0: [06:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 700 vu: ml id: Urine Out Foley t0: [06:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Nitroglycerine t0: [06:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 700 ac: 24 ap: none re: 0
id: Service Type t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 110 n1: 110 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Nitroglycerine t0: [07:00:00 16/07/2014] el: 2 cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgmin Nitroglycerine t0: [08:00:00 16/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Temp. Site t0: [08:00:00 16/07/2014] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/07/2014] el: 0 cg: CoWker cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/07/2014] el: 0 cg: CoWker cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [08:00:00 16/07/2014] el: 0 cg: CoWker cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Wound Base#1 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: PT Splint Loc/Stat#1 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLE/LLE Sensation t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Side Rails Up st: NotStopd id: Skin Care t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Temp/Condition t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Mushroom Cath st: NotStopd id: Turn t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Apathy st: NotStopd id: Bowel Sounds t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [09:00:00 16/07/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 20 vu: ml nb: 1 id: Urine Out Foley t0: [09:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Nitroglycerine t0: [08:00:00 16/07/2014] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fingerstick Glucose t0: [11:00:00 16/07/2014] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 16/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [12:00:00 16/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temperature C (calc) t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 16/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: IV Site Appear #3 t0: [15:00:00 16/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: MDI #1 (Puff/Drug) t0: [09:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [09:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: MDI #3 (Puff/Drug) t0: [15:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: O2 Delivery Device t0: [09:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [15:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd
id: IV #3 D/C Date el: 0 t0: [16:00:00 16/07/2014] tf: [16:01:00 16/07/2014] cu: CCU dt: 1 id: IV #4 Insert Date el: 0 t0: [16:00:00 16/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 1426 id: IV #4 Site/Size el: 0 t0: [16:00:00 16/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 1426 id: IV Site Appear #4 el: 0 t0: [16:00:00 16/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 1426
id: Service Type t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PT Splint Loc/Stat#1 t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLE/LLE Sensation t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [16:00:00 16/07/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: IV #3 Insert Date t0: [16:01:00 16/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [16:01:00 16/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Hematocrit t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 275 n1: 275 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [16:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [17:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: BUN (6-20) t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:27:00 16/07/2014] el: 0 cg: 140 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 16/07/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/07/2014] el: 3 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 16/07/2014] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: MDI #2 (Puff/Drug) t0: [20:40:00 16/07/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: MDI #3 (Puff/Drug) t0: [20:40:00 16/07/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Serevent st: NotStopd id: O2 Delivery Device t0: [20:40:00 16/07/2014] el: 0 cg: RRT cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:40:00 16/07/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: SpO2 t0: [20:40:00 16/07/2014] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd
id: Pain Present t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Serous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: PT Splint Loc/Stat#1 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Right Leg v2: Off st: NotStopd id: PT Splint Loc/Stat#2 t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Left Leg v2: Off st: NotStopd id: Arterial BP t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 119 n1: 119 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 122 n1: 122 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Independent st: NotStopd id: Precautions t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Strength st: NotStopd id: RLE/LLE Sensation t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dry st: NotStopd id: SpO2 t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [22:00:00 16/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 420 vu: ml id: D5W 100.0ml t0: [21:00:00 16/07/2014] el: 1 ai: 105 cg: -1 cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [22:00:00 16/07/2014] el: 1 cg: -1 cu: CCU vo: 180 vu: ml
id: PO/Gastric In Total t0: [23:00:00 16/07/2014] el: 1 cg: -1 cu: CCU cv: 1080 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 84 n1: 84 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 240 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 160 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 800 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 2400 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: -1750 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: -10781.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 2550 ac: 24 ap: none re: 0
id: Temp. Site t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd
id: Service Type t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: GU Cath Insert Date t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: Heart Rate t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 117 n1: 117 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 460 vu: ml
id: HOB t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: Position t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Position t0: [20:00:00 16/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Supervised st: NotStopd id: Restraint Location t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Turn t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Not Done st: NotStopd
id: INV Line#1 Type/Site t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd
id: Urine Out Foley t0: [04:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 240 vu: ml
id: MDI #2 (Puff/Drug) t0: [00:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd
id: Pain Present t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: Heart Rate t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Imp Skin Cleanse #3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Serous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 126 n1: 126 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Moves on Bed st: NotStopd id: RLE/LLE Sensation t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Cool v2: Dry st: NotStopd id: SpO2 t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Brown v2: Loose st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml
id: WBC (4-11,000) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 20.2 n1: 20.2 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 26.9 n1: 26.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 192 n1: 192 rs: Final st: NotStopd id: RBC t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 20.2 n1: 20.2 rs: Final st: NotStopd
id: Po Intake t0: [06:00:00 17/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [06:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 220 vu: ml
id: Fingerstick Glucose t0: [06:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 176 n1: 176 rs: Manual st: NotStopd
id: BUN (6-20) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 6.9 n1: 6.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 170 n1: 170 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: O2 Delivery Device#2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) #2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Peak Flow (actual) t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Other/Remarks st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Dampened st: NotStopd id: IV #2 Insert Date t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Position t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Warm st: NotStopd id: RLE/LLE Sensation t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: MDI #2 (Puff/Drug) t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: MDI #3 (Puff/Drug) t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Serevent st: NotStopd id: O2 Delivery Device t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Blood Products t0: [08:55:00 17/07/2014] el: 0 cg: 140 cu: CCU v1: Y rs: Final st: NotStopd
id: Service Type t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Arterial BP t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 17/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: Albumin (>3.2) el: 0 t0: [06:00:00 17/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 586
id: Temp. Site t0: [10:00:00 17/07/2014] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 17/07/2014] el: 0 cg: CoWker cu: CCU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 17/07/2014] el: 0 cg: CoWker cu: CCU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd
id: TF Residual t0: [11:00:00 17/07/2014] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Arterial BP t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 135 n1: 135 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 17/07/2014] el: 2 ai: 107 cg: -1 cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 20 vu: ml id: Packed RBC's t0: [10:00:00 17/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 100 vu: ml uu: Units id: Urine Out Foley t0: [10:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 440 ac: 24 ap: none re: 0
id: Service Type t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Arterial BP t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 104 n1: 104 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 141 n1: 141 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temperature C (calc) t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [10:15:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [12:00:00 17/07/2014] el: 2 ai: 120 cg: -1 cu: CCU vo: 100 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 200 ac: 24 ap: none re: 0
id: Arterial BP t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: MDI #2 (Puff/Drug) t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: O2 Delivery Device t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: SpO2 t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 95 n1: 95 u1: % st: NotStopd
id: INV Line#1 D/C Date el: 0 t0: [12:00:00 17/07/2014] tf: [15:46:00 17/07/2014] cu: CCU dt: 226
id: Pain Present t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: No st: NotStopd id: Service Type t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Full Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Diff to Palpate st: NotStopd id: Eye Opening t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: HOB t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: INV Line#1 D/C Date t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 23 n2: 23 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #3 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Treatment #3 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#3 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Leg, Right Lower st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Heel, Left st: NotStopd id: Impaired Skin Site#3 t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 143 n1: 143 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Doppler v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Contact st: NotStopd id: RL Strength/Movement t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Warm st: NotStopd id: RLE/LLE Sensation t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Intact v2: Intact st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side Rails Up st: NotStopd id: Skin Color t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Purposeful st: NotStopd id: Turn t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 17/07/2014] el: 0 cg: -1 cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/07/2014] el: 3 ai: 107 cg: -1 cu: CCU vo: 40 vu: ml id: Stool Out Rectal Tube t0: [14:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 1000 vu: ml id: Hematoma Aspiration t0: [14:00:00 17/07/2014] el: 1 cg: -1 cu: CCU vo: 50 vu: ml
id: Stool Out Total t0: [23:00:00 17/07/2014] el: 1 cg: -1 cu: -1 cv: 100 ac: 24 ap: none re: 0
ci: 1081 t0: [16:48:00 30/06/2014] cu: CCU de: Regular ward dt: 24418
pi: 206128 hi: 15157 t0: [14:00:00 23/03/2015] tf: [14:00:00 23/03/2015] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 206872 hi: 15157 t0: [10:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206873 hi: 15157 t0: [16:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 206874 hi: 15157 t0: [10:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206875 hi: 15157 t0: [10:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Atorvastatin pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206876 hi: 15157 t0: [16:00:00 23/03/2015] tf: [02:00:00 01/04/2015] mn: Gabapentin pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 206877 hi: 15157 t0: [10:00:00 23/03/2015] tf: [02:00:00 01/04/2015] mn: Citalopram Hydrobromide pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206878 hi: 15157 t0: [15:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 15, 3 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 206901 hi: 15157 t0: [10:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Prednisone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QOD ds: 10 di: Ongoing xv: 36 xu: Hours pi: 206902 hi: 15157 t0: [10:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Calcitriol pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206903 hi: 15157 t0: [16:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Calcium Carbonate pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 206904 hi: 15157 t0: [10:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Levothyroxine Sodium pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206905 hi: 15157 t0: [22:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Docusate Sodium pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 206906 hi: 15157 t0: [22:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206907 hi: 15157 t0: [16:00:00 23/03/2015] tf: [02:00:00 01/04/2015] mn: Buspirone pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 206908 hi: 15157 t0: [15:00:00 23/03/2015] tf: [15:00:00 01/04/2015] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206909 hi: 15157 t0: [10:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Alendronate Sodium pt: Unit Dose st: Discontinued rt: PO fr: QMON ds: 7 di: Ongoing xv: 36 xu: Hours pi: 206910 hi: 15157 t0: [22:00:00 23/03/2015] tf: [02:00:00 01/04/2015] mn: Lorazepam pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206913 hi: 15157 t0: [15:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 206914 hi: 15157 t0: [10:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206915 hi: 15157 t0: [10:00:00 23/03/2015] tf: [14:00:00 25/03/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206916 hi: 15157 t0: [15:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Lactulose pt: Unit Dose st: Discontinued rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 206917 hi: 15157 t0: [15:00:00 23/03/2015] tf: [11:00:00 03/04/2015] mn: Nitroglycerin SL pt: Unit Dose st: Discontinued rt: SL fr: PRN di: Ongoing xv: 36 xu: Hours pi: 206918 hi: 15157 t0: [15:00:00 23/03/2015] tf: [12:00:00 03/04/2015] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 206919 hi: 15157 t0: [15:00:00 23/03/2015] tf: [02:00:00 01/04/2015] mn: Enoxaparin Sodium pt: Unit Dose st: Discontinued rt: SC fr: Q12H ds: 15, 3 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 206920 hi: 15157 t0: [15:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QAM ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 206921 hi: 15157 t0: [22:00:00 23/03/2015] tf: [09:00:00 01/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 207436 hi: 15157 t0: [22:00:00 23/03/2015] tf: [14:00:00 25/03/2015] mn: Santyl pt: Unit Dose st: Discontinued rt: TP fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 207861 hi: 15157 t0: [17:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 207902 hi: 15157 t0: [10:00:00 23/03/2015] tf: [09:00:00 01/04/2015] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: QOD ds: 10 di: Ongoing xv: 36 xu: Hours
pi: 208783 hi: 15157 t0: [22:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Dofetilide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 209085 hi: 15157 t0: [23:00:00 23/03/2015] tf: [00:00:00 24/03/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 209090 hi: 15157 t0: [23:00:00 23/03/2015] tf: [19:00:00 30/04/2015] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 209195 hi: 15157 t0: [00:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Dextrose 50% pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 209196 hi: 15157 t0: [00:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Insulin Human Regular pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 209961 hi: 15157 t0: [11:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 209962 hi: 15157 t0: [11:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 211407 hi: 15157 t0: [19:00:00 24/03/2015] tf: [21:00:00 24/03/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 211922 hi: 15157 t0: [10:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QAM ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 211923 hi: 15157 t0: [10:00:00 24/03/2015] tf: [08:00:00 27/03/2015] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 211924 hi: 15157 t0: [22:00:00 24/03/2015] tf: [19:00:00 30/04/2015] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 22, 10 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 213458 hi: 15157 t0: [14:00:00 25/03/2015] tf: [19:00:00 30/04/2015] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 213559 hi: 15157 t0: [10:00:00 25/03/2015] tf: [19:00:00 30/04/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 213560 hi: 15157 t0: [10:00:00 25/03/2015] tf: [19:00:00 30/04/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 213561 hi: 15157 t0: [16:00:00 25/03/2015] tf: [19:00:00 30/04/2015] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 215333 hi: 15157 t0: [09:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 215334 hi: 15157 t0: [09:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 215335 hi: 15157 t0: [09:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 215336 hi: 15157 t0: [09:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 215978 hi: 15157 t0: [10:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Spironolactone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 215979 hi: 15157 t0: [14:00:00 26/03/2015] tf: [19:00:00 30/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 218144 hi: 15157 t0: [09:00:00 27/03/2015] tf: [13:00:00 27/03/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 218166 hi: 15157 t0: [09:00:00 27/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 218869 hi: 15157 t0: [10:00:00 27/03/2015] tf: [02:00:00 01/04/2015] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 221592 hi: 15157 t0: [14:00:00 28/03/2015] tf: [19:00:00 30/04/2015] mn: Magnesium Oxide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 221593 hi: 15157 t0: [14:00:00 28/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 221823 hi: 15157 t0: [10:00:00 28/03/2015] tf: [09:00:00 01/04/2015] mn: Spironolactone pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 222047 hi: 15157 t0: [19:00:00 28/03/2015] tf: [11:00:00 03/04/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 222701 hi: 15157 t0: [03:00:00 29/03/2015] tf: [11:00:00 03/04/2015] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PO fr: QD:PRN di: Ongoing xv: 36 xu: Hours pi: 222702 hi: 15157 t0: [03:00:00 29/03/2015] tf: [11:00:00 03/04/2015] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PR fr: QD:PRN di: Ongoing xv: 36 xu: Hours
pi: 222764 hi: 15157 t0: [04:00:00 29/03/2015] tf: [19:00:00 30/04/2015] mn: Diphenhydramine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 223436 hi: 15157 t0: [13:00:00 29/03/2015] tf: [11:00:00 03/04/2015] mn: Sarna Lotion pt: Unit Dose st: Discontinued rt: TP fr: QID:PRN di: Ongoing xv: 36 xu: Hours
pi: 223768 hi: 15157 t0: [16:00:00 29/03/2015] tf: [04:00:00 01/04/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 223769 hi: 15157 t0: [16:00:00 29/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 224807 hi: 15157 t0: [09:00:00 30/03/2015] tf: [09:00:00 01/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: PO fr: QAM ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 224948 hi: 15157 t0: [10:00:00 30/03/2015] tf: [19:00:00 30/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 227854 hi: 15157 t0: [09:00:00 31/03/2015] tf: [02:00:00 01/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 01/04/2015] el: 0 cg: LCP cu: LCP at MIT n1: 16
io: Carrier el: 1 cg: -1 cu: C-SICU ra: 10 ru: ml/hr
id: Less Restrict Meas. t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Orientation st: NotStopd id: Service Type t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Agitated st: NotStopd id: Ectopy Frequency t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Eye Opening t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 144 n1: 144 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft st: NotStopd id: IV #1 Site/Size t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: LU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Leg, Right Lower st: NotStopd id: Level of Conscious t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Alert st: NotStopd id: Motor Response t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 145 n1: 145 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Other/Remarks st: NotStopd id: Precautions t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Procedures t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: EKG st: NotStopd id: Reason For Restraint t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft Limb st: NotStopd id: Side Rails t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Side Rails Up st: NotStopd id: Skin Color t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Children st: NotStopd id: Urine Color/Appear t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Agitated st: NotStopd
id: Carrier t0: [01:30:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 0 vu: ml nb: 1
pi: 230457 hi: 15157 t0: [10:00:00 01/04/2015] tf: [19:00:00 30/04/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 230458 hi: 15157 t0: [10:00:00 01/04/2015] tf: [13:00:00 02/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 230460 hi: 15157 t0: [10:00:00 01/04/2015] tf: [19:00:00 30/04/2015] mn: Dofetilide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 230483 hi: 15157 t0: [03:00:00 01/04/2015] tf: [03:00:00 01/04/2015] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Eye Care t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Eye Opening t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft st: NotStopd id: Activity t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 76 n1: 76 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Other/Remarks st: NotStopd id: Position t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Suctioned v2: Scant st: NotStopd id: Temp. Site t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Turn t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [02:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Present st: NotStopd
id: D5W 100.0ml el: 1 t0: [02:00:00 01/04/2015] tf: [18:14:00 02/04/2015] cu: C-SICU dt: 2414 id: Urine Out Foley el: 1 t0: [02:00:00 01/04/2015] tf: [18:14:00 02/04/2015] cu: C-SICU dt: 2414
id: D5W 100.0ml t0: [02:00:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 250 vu: ml id: Urine Out Foley t0: [02:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 400 vu: ml
id: Service Type t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Heart Rate t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 58 n1: 58 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 38.6667 n1: 38.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:30:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 250 vu: ml
id: Pre-Admission Intake el: 1 t0: [23:30:00 31/03/2015] tf: [18:14:00 02/04/2015] cu: C-SICU dt: 2564 id: Pre-Admission Output Pre-Admission Output el: 1 t0: [23:30:00 31/03/2015] tf: [18:14:00 02/04/2015] cu: C-SICU dt: 2564
id: Pre-Admission Intake t0: [23:30:00 31/03/2015] el: 1 ai: 107 cg: -1 cu: C-SICU vo: 1170 vu: ml id: Pre-Admission Output Pre-Admission Output t0: [23:30:00 31/03/2015] el: 1 cg: -1 cu: C-SICU vo: 1350 vu: ml
id: Compliance (40-60ml) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau-Off t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Yes st: NotStopd id: Pressure Support t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 11 n1: 11 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7200A st: NotStopd id: Waveform-Vent t0: [01:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: RAMP st: NotStopd
id: Art.pH t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 103 n1: 103 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:55:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP Mean t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 43.3333 n1: 43.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier el: 1 t0: [03:00:00 01/04/2015] tf: [18:14:00 02/04/2015] cu: C-SICU dt: 2354
id: Carrier t0: [03:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 15 vu: ml id: Urine Out Foley t0: [03:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 40 vu: ml
id: Service Type t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rate t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP Mean t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 32.6667 n1: 32.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 500 vu: ml id: Carrier t0: [04:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 34 vu: ml
pi: 230578 hi: 15157 t0: [05:00:00 01/04/2015] tf: [15:00:00 01/04/2015] mn: Famotidine (IV) pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 5, 17 dn: 2 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 8.6 n1: 8.6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Plateau-Off t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Yes st: NotStopd id: Pressure Support t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: . st: NotStopd id: Respiratory Rate Set t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:00:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7200A st: NotStopd
id: Service Type t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 60 n1: 60 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 37.3333 n1: 37.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [05:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 45 vu: ml
id: WBC (4-11,000) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Hematocrit t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 253 n1: 253 rs: Final st: NotStopd id: RBC t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 3.62 n1: 3.62 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 11.5 n1: 11.5 rs: Final st: NotStopd
id: BUN (6-20) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 71 n1: 71 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 139 n1: 139 rs: Final st: NotStopd
id: INR (2-4 ref. range) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 51.9 n1: 51.9 rs: Final st: NotStopd
id: Differential-Bands t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 0 n1: 0 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 27.2727 n1: 27.2727 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 4 n1: 4 st: NotStopd id: Low Insp. Pressure t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau-Off t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Yes st: NotStopd id: Pressure Support t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7200A st: NotStopd id: Waveform-Vent t0: [05:30:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: RAMP st: NotStopd
id: Service Type t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rate t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 55 n1: 55 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 33 n1: 33 u1: mmHg st: NotStopd id: Precautions t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [05:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:45:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 250 vu: ml
id: CPK/MB t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: 3 n1: 3 rs: Final st: NotStopd id: Troponin t0: [03:40:00 01/04/2015] el: 0 cg: 3161 cu: C-SICU v1: <0.3 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Eye Opening t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 53 n1: 53 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: NBP t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 58 n1: 58 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 36.3333 n1: 36.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 31.3333 n1: 31.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Other/Remarks st: NotStopd id: Precautions t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:15:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [06:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [06:15:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 500 vu: ml id: Carrier t0: [06:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 18 vu: ml
id: Less Restrict Meas. t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Service Type t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sedated st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: None st: NotStopd id: Eye Care t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: LU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Good st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Serosanguinous v2: Small st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Leg, Right Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Other/Remarks st: NotStopd id: Position t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Side Rails Up st: NotStopd id: Significant Events t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Fluid Bolus st: NotStopd id: Skin Color t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 550 vu: ml id: Carrier t0: [08:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 90 vu: ml
id: Compliance (40-60ml) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20.6897 n1: 20.6897 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 1:4.5 st: NotStopd id: Airway Size t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 3.5 n1: 3.5 st: NotStopd id: Low Insp. Pressure t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10.4 n1: 10.4 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau-Off t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Yes st: NotStopd id: Pressure Support t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: SIMV+PS st: NotStopd id: Ventilator No. t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 29 n1: 29 u1: # st: NotStopd id: Ventilator Type t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7200A st: NotStopd id: Waveform-Vent t0: [08:15:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: RAMP st: NotStopd
pi: 230908 hi: 15157 t0: [10:00:00 01/04/2015] tf: [19:00:00 30/04/2015] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 230911 hi: 15157 t0: [10:00:00 01/04/2015] tf: [12:00:00 02/04/2015] mn: Hydrocortisone Na Succ. pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 10, 18, 2 dn: 3 di: Ongoing xu: Enter on Label pi: 230944 hi: 15157 t0: [10:00:00 01/04/2015] tf: [12:00:00 02/04/2015] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 84 n1: 84 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 55.3333 n1: 55.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 54.3333 n1: 54.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Significant Events t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 31 n1: 31 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [10:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 200 vu: ml
id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: -1 cu: MICU am: 60 du: mcgkgmin rt: IV Drip
id: Service Type t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 95 n1: 95 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 105 n1: 105 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Significant Events t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 01/04/2015] el: 1 ai: 105 cg: -1 cu: C-SICU vo: 500 vu: ml id: Carrier t0: [11:00:00 01/04/2015] el: 1 ai: 189 cg: -1 cu: C-SICU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 01/04/2015] el: 1 cg: -1 cu: C-SICU vo: 320 vu: ml
id: BSA t0: [11:08:00 01/04/2015] el: 1033 cg: -1 cu: C-SICU id: Admit Wt t0: [11:08:00 01/04/2015] el: 1032 cg: -1 cu: C-SICU v1: 88 n1: 88 u1: kg id: Allergy 1 t0: [11:08:00 01/04/2015] el: 1020 cg: -1 cu: C-SICU id: Diagnosis/op t0: [11:08:00 01/04/2015] el: 1023 cg: -1 cu: C-SICU v1: CONGESTIVE HEART FAILURE id: Service t0: [11:08:00 01/04/2015] el: 1026 cg: -1 cu: C-SICU v1: MED id: Admit Ht t0: [11:08:00 01/04/2015] el: 1034 cg: -1 cu: C-SICU id: Readmission t0: [11:08:00 01/04/2015] el: 1014 cg: -1 cu: C-SICU id: Marital Status t0: [11:08:00 01/04/2015] el: 1006 cg: -1 cu: C-SICU v1: D id: Religion t0: [11:08:00 01/04/2015] el: 1000 cg: -1 cu: C-SICU v1: JEW id: Allergy 2 t0: [11:08:00 01/04/2015] el: 1021 cg: -1 cu: C-SICU id: Ext t0: [11:08:00 01/04/2015] el: 1010 cg: -1 cu: C-SICU id: Allergy 3 t0: [11:08:00 01/04/2015] el: 1022 cg: -1 cu: C-SICU
id: CVP t0: [11:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [10:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: PVC's st: NotStopd id: Heart Rhythm t0: [10:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 85 n1: 85 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: 54.3333 n1: 54.3333 u1: mmHg st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 1 t0: [11:00:00 01/04/2015] tf: [06:00:00 02/04/2015] cu: C-SICU dt: 1140
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [10:30:00 01/04/2015] el: 1 ai: 107 cg: -1 cu: C-SICU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [11:00:00 01/04/2015] el: 1 ai: 107 cg: -1 cu: C-SICU vo: 5.5 vu: ml
id: Neosynephrine-k el: 1 t0: [10:30:00 01/04/2015] tf: [16:15:00 01/04/2015] cu: C-SICU dt: 345
id: Neosynephrine-k t0: [10:30:00 01/04/2015] el: 1 cu: C-SICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 01/04/2015] el: 1 cu: C-SICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 22.2222 n1: 22.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 1:4.5 st: NotStopd id: Airway Size t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 3.5 n1: 3.5 st: NotStopd id: Low Insp. Pressure t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 9.8 n1: 9.8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau-Off t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: Yes st: NotStopd id: Pressure Support t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: SIMV+PS st: NotStopd id: Ventilator No. t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 29 n1: 29 u1: # st: NotStopd id: Ventilator Type t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: 7200A st: NotStopd id: Waveform-Vent t0: [11:20:00 01/04/2015] el: 0 cg: RRT cu: C-SICU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 01/04/2015] el: 0 cg: -1 cu: C-SICU v1: Orientation st: NotStopd id: