This log is also available as text (s07125.txt) and as a (binary) annotation file (s07125.log).
Generated: Monday, 07-Jun-2010 13:20:24 EDT
(All dates below are surrogates.)
t0: [18:45:09 13/09/2016] tf: [09:21:47 18/09/2016] id: a41360 [view]
t0: [18:32:59 13/09/2016] tf: [09:19:59 18/09/2016] id: a41360n [view]
t0: [20:33:02 13/09/2016] tf: [18:33:09 17/09/2016] id: a42277 [view]
t0: [06:24:59 13/09/2016] tf: [18:31:59 17/09/2016] id: a42277n [view]
dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25041 ds: 4 ld: DIABETES W/RENAL MANIFES dd: 25051 ds: 6 ld: DIABETES W/OPHTHALMIC MA dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 25071 ds: 8 ld: DIABETES W/PERIPHERAL CI dd: 3371 ds: 3 ld: AUT NEUROPTHY IN OTH DIS dd: 36201 ds: 7 ld: DIABETIC RETINOPATHY NOS dd: 44381 ds: 9 ld: ANGIOPATHY IN OTHER DIS dd: 58381 ds: 5 ld: NEPHRITIS NOS IN OTH DIS dd: 78079 ds: 2 ld: OTHER MALAISE & FATIGUE dd: 78830 ds: 2 ld: UNS URINARY INCONTINENCE
dd: 2449 ds: 7 ld: HYPOTHYROIDISM NOS dd: 25041 ds: 3 ld: DIABETES W/RENAL MANIFES dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 25071 ds: 8 ld: DIABETES W/PERIPHERAL CI dd: 3371 ds: 2 ld: AUT NEUROPTHY IN OTH DIS dd: 44381 ds: 9 ld: ANGIOPATHY IN OTHER DIS dd: 58381 ds: 4 ld: NEPHRITIS NOS IN OTH DIS dd: 78820 ds: 6 ld: RETENTION OF URINE, UNSP dd: V420 ds: 5 ld: KIDNEY TRANSPLANT STATUS
dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE
dd: 56400 ds: 1 ld: UNSPECIFIED CONSTIPATION
dd: 25001 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 99676 ds: 1 ld: COMPLICATIONS FROM GU IM dd: E8799 ds: 2 ld: ABN REACT-PROCEDURE NOS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS
dd: 2449 ds: 3 ld: HYPOTHYROIDISM NOS dd: 25061 ds: 2 ld: DIABETES W/NEUROLOGICAL dd: 7070 ds: 1 ld: DECUBITUS ULCER dd: V1259 ds: 4 ld: PERS HX OTH DIS CIRC SYS
dd: 25071 ds: 1 ld: DIABETES W/PERIPHERAL CI dd: 44023 ds: 2 ld: ATHEROSC EXTREM W/ULCERA
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 78701 ds: 3 ld: NAUSEA WITH VOMITING dd: 78830 ds: 2 ld: UNS URINARY INCONTINENCE
dd: 7872 ds: 1 ld: DYSPHAGIA
dd: 7872 ds: 1 ld: DYSPHAGIA
dd: 78703 ds: 1 ld: VOMITING ALONE
dd: 0417 ds: 6 ld: PSEUDOMONAS INFECT NOS dd: 25011 ds: 9 ld: DIABETES W/KETOACIDOSIS dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 2765 ds: 7 ld: HYPOVOLEMIA dd: 436 ds: 3 ld: CVA dd: 5363 ds: 2 ld: GASTROPARESIS dd: 53642 ds: 4 ld: MECH COMPL OF GASTROSTOM dd: 5990 ds: 5 ld: URIN TRACT INFECTION NOS dd: 70714 ds: 8 ld: ULCER OF HEEL/MIDFOOT
tf: [01:33:00 13/08/2017] dt: 3184 cu: MICU-A de: FA6A
t0: [20:29:00 10/08/2017] id: BSA el: 1033 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Admit Wt el: 1032 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Allergy 1 el: 1020 cu: MICU-A cg: 1531 v1: No Known Drug Allergies t0: [20:29:00 10/08/2017] id: Diagnosis/op el: 1023 cu: MICU-A cg: 1531 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [20:29:00 10/08/2017] id: Service el: 1026 cu: MICU-A cg: 1531 v1: MED t0: [20:29:00 10/08/2017] id: Admit Ht el: 1034 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Readmission el: 1014 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Marital Status el: 1006 cu: MICU-A cg: 1531 v1: M t0: [20:29:00 10/08/2017] id: Religion el: 1000 cu: MICU-A cg: 1531 v1: RCA t0: [20:29:00 10/08/2017] id: Allergy 2 el: 1021 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Ext el: 1010 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: PIN el: 1012 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Allergy 3 el: 1022 cu: MICU-A cg: 1531
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 351 rs: Manual st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 39.3 u1: % rs: Final st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.6667 u1: mmHg st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:30:00 10/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Diabetic st: NotStopd t0: [20:30:00 10/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:30:00 10/08/2017] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:30:00 10/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:30:00 10/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [20:30:00 10/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [20:30:00 10/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:30:00 10/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 10/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:30:00 10/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:30:00 10/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:30:00 10/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:30:00 10/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:30:00 10/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 10/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:30:00 10/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
id: Insulin el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip id: Insulin el: 200 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ra: 6 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [21:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 365 rs: Manual st: NotStopd
t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml nb: 1 t0: [20:00:00 10/08/2017] tf: [16:00:00 11/08/2017] dt: 1200 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 5 vu: ml t0: [21:00:00 10/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [21:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 6 vu: ml
t0: [20:00:00 10/08/2017] tf: [16:15:00 11/08/2017] dt: 1215 id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 4 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt #3 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wound Base#3 el: 0 cu: MICU-A cg: RN v1: Yellow st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wth/Lth #3 el: 0 cu: MICU-A cg: RN v1: 2 cm v2: 2 cm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [22:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [22:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 10/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 341 rs: Manual st: NotStopd t0: [23:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 292 rs: Manual st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 430 vu: ml t0: [22:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 6 vu: ml t0: [22:00:00 10/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [23:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml
t0: [22:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 10/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [23:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [23:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 10/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3033 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 10/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 45 cv: 165 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 45 cv: 595 ap: none
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd
t0: [21:00:00 10/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [21:00:00 10/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [21:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Speech el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [00:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 244 rs: Manual st: NotStopd
t0: [00:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml t0: [00:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [00:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:57:00 10/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [00:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2913 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [00:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 11/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [00:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [01:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN st: NotStopd t0: [01:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [01:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [01:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [01:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [01:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [01:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [01:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [01:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [01:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [01:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 208 rs: Manual st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [01:00:00 11/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [01:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [01:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [01:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd
t0: [00:57:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [02:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [02:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [02:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [02:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 28 vu: ml
t0: [02:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [03:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [03:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/08/2017] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vu: ml t0: [22:00:00 10/08/2017] tf: [07:00:00 11/08/2017] dt: 540 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [23:00:00 10/08/2017] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vu: ml t0: [03:00:00 11/08/2017] tf: [07:00:00 11/08/2017] dt: 240 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:00:00 10/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1063 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 1108 cv: 2525 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 1108 cv: 2525 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1930 ap: none t0: [23:00:00 10/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1930 ap: none t0: [23:00:00 11/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 112 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 112 cv: 4877.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 112 cv: 6377.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1490 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 4837.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1540 ap: none t0: [23:00:00 11/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 6767.8 ap: none
t0: [03:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd
t0: [03:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 90.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 u1: % rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 340 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.92 u1: /mic l rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.5 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.5 rs: Final st: NotStopd
t0: [03:07:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [04:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [04:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [04:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [01:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml t0: [02:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [04:00:00 11/08/2017] tf: [07:00:00 11/08/2017] dt: 180 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [04:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 22 vu: ml
t0: [04:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [05:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [05:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [05:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [05:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [05:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [05:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [05:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [05:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [05:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [05:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [05:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [05:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 11/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [05:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [05:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [05:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [05:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [05:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [05:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [05:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd t0: [06:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
id: D5NS el: 1 cu: MICU-A cg: RN io: D5NS IV Infusions du: ml rt: Intravenous Push
t0: [06:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [06:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [06:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 198 rs: Manual st: NotStopd
t0: [04:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] tf: [08:00:00 11/08/2017] dt: 120 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 500 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [06:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [06:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:07:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 u1: mEq/L rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 u1: mEq/L rs: Final st: NotStopd
t0: [07:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [07:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [07:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 190 rs: Manual st: NotStopd
t0: [07:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [07:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [07:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [07:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
id: Potassium Phosphate el: 201 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push id: Potassium Phosphate el: 301 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ra: 83.3 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ra: 83.3 ru: ml/hr
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 3 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: Pain Type el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [08:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [08:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 11/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 11/08/2017] tf: [13:00:00 11/08/2017] dt: 300 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] tf: [17:00:00 12/08/2017] dt: 1980 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [08:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [08:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [06:40:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.8 u1: % rs: Final st: NotStopd
t0: [06:40:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 190 rs: Manual st: NotStopd
t0: [08:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2433 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2433 id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [09:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 11/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [09:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 11/08/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [10:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [10:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [09:00:00 11/08/2017] tf: [11:00:00 11/08/2017] dt: 120 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [09:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [09:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 232 rs: Manual st: NotStopd
t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [10:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [10:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.28 u1: pH rs: Final st: NotStopd
t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [11:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98.6667 u1: mmHg st: NotStopd t0: [11:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [11:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 171 rs: Manual st: NotStopd
t0: [11:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:01:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 234 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 234 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [09:08:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2425 id: Cyclosporin Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [08:00:00 11/08/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2253 id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [12:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 11/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [12:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 149 rs: Manual st: NotStopd t0: [12:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [11:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml st: Stopped t0: [12:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 166.6 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 166.6 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1 t0: [12:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 10 vu: ml t0: [12:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [12:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [13:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [13:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd
t0: [13:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:43:00 11/08/2017] id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.34 u1: pH rs: Final st: NotStopd
t0: [14:43:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2090 id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 38 u1: % rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [10:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2373 id: Procedures el: 0 cu: MICU-A cg: RN v1: Urinalysis st: NotStopd t0: [14:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2133 id: Significant Events el: 0 cu: MICU-A cg: RN v1: OR Sent st: NotStopd
t0: [14:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:24:00 11/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 u1: % rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.7 u1: gm/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 373 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd
id: OR Crystalloid el: 1 cu: MICU-A cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [16:24:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [16:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [16:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [16:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:15:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:15:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:15:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:15:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [16:15:00 11/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:15:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:15:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:15:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [16:15:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:15:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:15:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:15:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:15:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:15:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [16:15:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [16:15:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:30:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:30:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:30:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [16:30:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:30:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:30:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:45:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: Cool Cloth st: NotStopd t0: [16:45:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [17:00:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: Cool Cloth st: NotStopd t0: [17:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [17:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [17:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [17:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 110 rs: Manual st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [17:15:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd
t0: [13:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 83.3 vu: ml st: Stopped t0: [13:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml st: Stopped t0: [16:00:00 11/08/2017] tf: [12:00:00 12/08/2017] dt: 1200 id: OR Crystalloid OR Intake el: 1 cu: MICU-A cg: RN ai: 416 vo: 1500 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 16 vu: ml st: Stopped t0: [16:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml t0: [17:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [16:30:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1983 id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [16:30:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd
t0: [16:00:00 11/08/2017] tf: [17:00:00 11/08/2017] dt: 60 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 40 vu: ml t0: [17:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [17:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1
t0: [18:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [18:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd t0: [18:30:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:30:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:30:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [18:30:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [18:30:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:30:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/08/2017] tf: [21:00:00 11/08/2017] dt: 180 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [18:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1893 id: Gastric Gastric Tube el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [18:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 11/08/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none
t0: [18:30:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [18:30:00 11/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 3 u1: lpm st: NotStopd
t0: [19:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWork v1: 159 rs: Manual st: NotStopd
t0: [19:30:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 155 rs: Manual st: NotStopd
t0: [19:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [19:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [19:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [19:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [19:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [19:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1833 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [19:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Triglyceride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Triglyceride (0-200) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd
t0: [20:00:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [20:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [20:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [20:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [20:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [20:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [20:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: KCL el: 100 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [21:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 152 rs: Manual st: NotStopd
t0: [21:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [21:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [21:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [21:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 11/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [21:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [21:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [21:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [21:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [21:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [21:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [21:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [21:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [21:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [21:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [21:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [21:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [21:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [21:00:00 11/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vu: ml nb: 1 t0: [21:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml st: Stopped t0: [21:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [21:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [22:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [22:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [22:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/08/2017] tf: [08:00:00 12/08/2017] dt: 600 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [22:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [22:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/08/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1490 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1540 ap: none
t0: [22:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 148 rs: Manual st: NotStopd
t0: [23:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [23:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [23:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [23:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/08/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 112 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 112 cv: 4877.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 112 cv: 6377.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 4837.8 ap: none t0: [23:00:00 11/08/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 6767.8 ap: none
t0: [00:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 136 rs: Manual st: NotStopd
t0: [00:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [00:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [00:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [01:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [01:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [01:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [01:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [01:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [00:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [02:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [02:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [02:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 126 rs: Manual st: NotStopd
t0: [03:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [03:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [03:00:00 12/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [03:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [03:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [03:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [03:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [03:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [03:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [03:00:00 12/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [03:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [03:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [03:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [03:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 448 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 7215.8 ap: none
t0: [04:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 132 rs: Manual st: NotStopd
t0: [03:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [03:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [03:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 12/08/2017] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [03:00:00 12/08/2017] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU-A cg: RN v1: None v2: Scant st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None v2: Scant st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Wet to Dry st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Wet to Dry st: NotStopd t0: [03:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1353 id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Black st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wound Base#3 el: 0 cu: MICU-A cg: RN v1: Purple st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wth/Lth #3 el: 0 cu: MICU-A cg: RN v1: 1 cm v2: 1 cm st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [03:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [03:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 12/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [03:00:00 12/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [04:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [04:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [05:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [05:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [05:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 750 vu: ml
t0: [04:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [06:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [06:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:25:00 12/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.9 u1: % rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 361 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.99 u1: /mic l rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd
t0: [05:25:00 12/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [07:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [07:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [07:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [07:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [07:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [07:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ra: 10 ru: ml/hr
t0: [08:00:00 12/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: -1 ai: 154 vo: 0 st: D/C'd
id: .9% Normal Saline el: 3 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 4 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 0-None st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [08:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 12/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 12/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 12/08/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [08:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [08:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95 u1: Deg. F st: NotStopd t0: [08:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 12/08/2017] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 12/08/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 12/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [08:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0 vu: ml nb: 1 t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [08:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [08:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 98 rs: Manual st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [09:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: Repositioned v2: Cool Cloth st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [09:00:00 12/08/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/08/2017] tf: [17:00:00 12/08/2017] dt: 480 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [09:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 993 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [09:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Patient/Family st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: PEG st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: PCA/Pain Manage st: NotStopd
t0: [10:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [10:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [10:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:30:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:30:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [10:30:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [10:30:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 78 rs: Manual st: NotStopd
t0: [10:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [10:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:30:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [11:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [11:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [12:00:00 12/08/2017] id: OR Crystalloid OR Intake el: 1 cu: MICU-A cg: -1 ai: 416 vo: 0 st: D/C'd
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [11:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [12:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 12/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 12/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [12:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [11:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml t0: [12:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [11:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95 u1: Deg. F st: NotStopd
t0: [12:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 89 rs: Manual st: NotStopd
t0: [12:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 813 id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml
t0: [12:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [13:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [13:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml t0: [13:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [13:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [12:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN st: NotStopd t0: [12:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [13:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [13:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: Repositioned st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Intermittent st: NotStopd t0: [13:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [13:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [13:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [13:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 12/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [14:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [14:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:25:00 12/08/2017] id: Cyclosporin Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [14:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [14:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWork v1: 164 rs: Manual st: NotStopd
t0: [15:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [15:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [15:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [15:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [16:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/08/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [16:00:00 12/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [17:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [17:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [17:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [17:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 300 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3.5 vu: ml t0: [16:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [17:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml
t0: [15:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/08/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 448 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 7215.8 ap: none
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS
dd: 0388 ds: 2 ld: SEPTICEMIA NEC dd: 1179 ds: 5 ld: MYCOSES NEC & NOS dd: 25061 ds: 8 ld: DIABETES W/NEUROLOGICAL dd: 5070 ds: 1 ld: FOOD/VOMIT PNEUMONITIS dd: 51881 ds: 4 ld: RESPIRATORY FAILURE dd: 5849 ds: 7 ld: ACUTE RENAL FAILURE NOS dd: 5990 ds: 9 ld: URIN TRACT INFECTION NOS dd: 99592 ds: 3 ld: SYST INFLAM RESPN INFECT dd: 99681 ds: 6 ld: COMPLIC KIDNEY TRANSPLAN
tf: [09:00:00 09/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 5, 17 dn: 2 m1: Cyclosporine (Sandimmune) v1: 100 u1: mg tf: [13:00:00 09/09/2017] pt: Unit Dose rt: PO fr: Q24H fs: 5 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [04:00:00 10/09/2017] pt: Unit Dose rt: TP fr: ONCE fs: 5 dn: 1 m1: Scopolamine Patch v1: 1 u1: PTCH tf: [10:00:00 10/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [00:00:00 11/09/2017] pt: Unit Dose rt: IV fr: QD:PRN m1: Sodium Chloride 0.9% Flush v1: 3 u1: ml tf: [16:00:00 27/09/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen (Liquid) v1: 650 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Promethazine HCl v1: 25 u1: mg
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Baclofen v1: 15 u1: mg
tf: [09:00:00 09/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP tf: [11:00:00 10/09/2017] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Suspension v1: 30 u1: mg tf: [11:00:00 10/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium v1: 25 u1: mcg tf: [12:00:00 11/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 5 u1: mg tf: [14:00:00 21/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Clopidogrel Bisulfate v1: 75 u1: mg tf: [16:00:00 25/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Citalopram Hydrobromide v1: 30 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 81 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 50 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Finasteride v1: 5 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Folic Acid v1: 1 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP
tf: [13:00:00 10/09/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml
tf: [22:00:00 10/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 5, 17 dn: 2 m1: Cyclosporine (Sandimmune) v1: 100 u1: mg
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: TP fr: BID fs: 08, 20 dn: 2 m1: ACCUZYME v1: 1 u1: Appl
tf: [10:00:00 10/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 36 u1: UNIT tf: [12:00:00 12/09/2017] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Tamsulosin HCl v1: 0.4 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: SC fr: TID fs: 08, 16, 22 dn: 3 m1: Heparin v1: 5000 u1: UNIT
tf: [22:00:00 10/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Dextrose 50% v1: 25 u1: gm
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium v1: 12.5 u1: mcg
tf: [22:00:00 10/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 500 u2: ml tf: [22:00:00 10/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [18:00:00 29/09/2017] pt: Unit Dose rt: TP fr: QID:PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
tf: [17:00:00 10/09/2017] pt: IV Large Volume rt: IV fr: ONCE fs: 12 dn: 1 m1: Multivitamin-12 v1: 10 u1: ml m2: Amino Acids 4.25% W/ Dextrose 5% v2: 1000 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
tf: [09:00:00 20/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
tf: [15:00:00 12/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 6, 18 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg
tf: [18:52:00 14/09/2017] dt: 5649 cu: C-SICU de: MICU
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 42 u1: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temperature F el: 0 cu: C-SICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Readmit <48 hrs el: 0 cu: C-SICU cg: RN v1: No st: NotStopd
t0: [21:00:00 10/09/2017] id: Imp Skin Cleanse #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Character #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Drain/Amt#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Treatment #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wound Base#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wth/Lth #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wth/Lth #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Impaired Skin Site#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Communication el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Speech el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Cloudy st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [21:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:15:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:15:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [05:00:00 11/09/2017] dt: 480 id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [21:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2400 id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [21:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2400 id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd
t0: [21:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
id: Levophed-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 23 u1: UNIT
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [22:00:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml t0: [22:00:00 10/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml t0: [22:00:00 10/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 20 vu: ml
t0: [22:42:00 10/09/2017] id: BSA el: 1033 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 64 u1: kg t0: [22:42:00 10/09/2017] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [22:42:00 10/09/2017] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [22:42:00 10/09/2017] id: Service el: 1026 cu: C-SICU cg: -1 v1: MED t0: [22:42:00 10/09/2017] id: Admit Ht el: 1034 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [22:42:00 10/09/2017] id: Religion el: 1000 cu: C-SICU cg: -1 v1: RCA t0: [22:42:00 10/09/2017] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [23:00:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 59 rs: Manual st: NotStopd
t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [22:50:00 10/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.09 rs: Final st: NotStopd
tf: [22:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: QD:PRN m1: Sodium Chloride 0.9% Flush v1: 3 u1: ml
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 481 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd
t0: [23:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:15:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:15:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:15:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5497 id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [23:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 10/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [23:15:00 10/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml
t0: [21:50:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:50:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:50:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:50:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:50:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:50:00 10/09/2017] tf: [03:30:00 11/09/2017] dt: 340 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 43 u1: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: BUN el: 0 cu: C-SICU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 rs: Final st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd
t0: [23:45:00 10/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 45 rs: Manual st: NotStopd
io: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ra: 125 ru: ml/hr
t0: [00:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 105 vo: 0 st: D/C'd t0: [00:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [00:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 110 vo: 0 st: D/C'd
id: D5/.45NS el: 1 cu: C-SICU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 16.129 u1: ml/cmH st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml t0: [23:00:00 10/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml t0: [23:00:00 10/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 15 vu: ml t0: [00:00:00 11/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml
t0: [23:00:00 10/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 15 cv: 15 ap: none t0: [23:00:00 10/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 610 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 625 cv: 1375 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 625 cv: 1375 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 15 cv: 135 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 1240 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 15 cv: 135 ap: none t0: [23:00:00 10/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 1240 ap: none
t0: [00:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 25 vu: ml t0: [01:00:00 11/09/2017] tf: [13:00:00 11/09/2017] dt: 720 id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [01:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 40 vu: ml
tf: [00:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [00:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [23:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [23:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [01:04:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [02:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [12:00:00 11/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [12:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [01:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Dextrose 50% v1: 75 u1: gm
id: Gastric Meds el: 1 cu: C-SICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Free Water Bolus el: 1 cu: C-SICU cg: RN io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric id: GT Flush el: 1 cu: C-SICU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric
t0: [22:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [22:30:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5542 id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5542 id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:45:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:45:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:45:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:45:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:45:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:45:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [00:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [02:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 10 vu: ml
t0: [22:15:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Intubated st: NotStopd t0: [00:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5422 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [01:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN st: NotStopd t0: [02:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [02:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5302 id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5302 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [01:45:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 11/09/2017] tf: [23:00:00 11/09/2017] dt: 1260 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml
t0: [00:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 45 rs: Manual st: NotStopd t0: [01:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 88 rs: Manual st: NotStopd t0: [02:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 89 rs: Manual st: NotStopd
t0: [22:00:00 10/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 10/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 10/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 10/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 10/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 10/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 10/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 10/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 10/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [01:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [01:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [21:00:00 10/09/2017] tf: [05:00:00 11/09/2017] dt: 480 id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [09:00:00 11/09/2017] dt: 600 id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 10/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [23:00:00 10/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [23:00:00 10/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [23:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2280 id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [00:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [02:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [03:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 147 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5272 id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [03:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml t0: [03:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 45 vu: ml
t0: [03:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:15:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 145 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:30:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 144 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 158 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [04:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [04:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [04:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/09/2017] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:45:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:45:00 11/09/2017] tf: [00:00:00 12/09/2017] dt: 1215 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 128 rs: Manual st: NotStopd t0: [04:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [04:15:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [04:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [04:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5207 id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.2 u1: % rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 495 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5207 id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.01 u1: /mic l rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd
t0: [04:35:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.26 rs: Final st: NotStopd
id: KCL el: 100 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [05:00:00 11/09/2017] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: Imp Skin Cleanse #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Wth/Lth #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV#1 Dsg Change el: 0 cu: C-SICU cg: -1 st: D/C'd
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [04:05:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd
t0: [05:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [05:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 30 vu: ml
t0: [05:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd
t0: [23:00:00 10/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [23:00:00 10/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 10/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [23:00:00 10/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 10/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 10/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 10/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 10/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [23:00:00 10/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 10/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 10/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5272 id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [04:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [04:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [00:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Skin Color el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Hot v2: Diaphoretic st: NotStopd t0: [04:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [23:00:00 10/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [00:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [04:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [04:00:00 11/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [06:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 11/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [06:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [06:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 130.769 u1: units st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 130.769 u1: units st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.26 u1: L st: NotStopd
id: Fentanyl el: 100 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5332 id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5332 id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [08:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd
t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [05:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [06:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [07:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [07:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [08:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [08:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [08:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [08:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 11/09/2017] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [08:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [08:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [08:00:00 12/09/2017] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
id: Lactated Ringers el: 1 cu: C-SICU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [04:00:00 11/09/2017] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:15:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [05:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [06:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [07:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [08:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [08:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] tf: [20:00:00 12/09/2017] dt: 2160 id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/09/2017] tf: [20:00:00 12/09/2017] dt: 2160 id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [09:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 90 vu: ml t0: [09:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [09:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 25 vu: ml
t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:15:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [05:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [06:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [07:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [09:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [09:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [09:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [09:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [09:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] tf: [20:00:00 11/09/2017] dt: 660 id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [09:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] tf: [20:00:00 11/09/2017] dt: 660 id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Remote Alarm el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 11/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 4 cm v2: 3 cm st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Flushed st: NotStopd t0: [09:30:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 204 rs: Manual st: NotStopd
t0: [06:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5092 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [06:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml t0: [08:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [08:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml t0: [09:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml
t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd
t0: [10:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [10:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [10:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [10:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 28 vu: ml
t0: [10:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5092 id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd
t0: [11:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
id: TF Residual el: 1 cu: C-SICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [11:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [11:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [11:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [11:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [11:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [11:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [11:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [11:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Infiltrated st: NotStopd t0: [11:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: IV #1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [11:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [11:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [11:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml
t0: [11:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd
t0: [10:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [11:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [12:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 250 vu: ml t0: [12:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml t0: [12:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml
t0: [11:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4732 id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [12:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [12:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [12:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 208 rs: Manual st: NotStopd
t0: [12:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [12:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:21:00 11/09/2017] id: BSA el: 1033 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 64 u1: kg t0: [12:21:00 11/09/2017] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [12:21:00 11/09/2017] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [12:21:00 11/09/2017] id: Service el: 1026 cu: C-SICU cg: -1 v1: MED t0: [12:21:00 11/09/2017] id: Admit Ht el: 1034 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [12:21:00 11/09/2017] id: Religion el: 1000 cu: C-SICU cg: -1 v1: RCA t0: [12:21:00 11/09/2017] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
id: KCL el: 100 cu: C-SICU cg: RN io: D5/.45NS 1000.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
t0: [13:00:00 11/09/2017] id: Venous CO2(Calc) VBG'S el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous PvCO2 VBG's el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous PvO2 Mixed Venous Gases el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous pH VBG's el: 0 cu: C-SICU cg: -1 st: D/C'd
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 150 ru: ml/hr
tf: [09:00:00 13/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Vial v2: 1 u2: VIAL tf: [14:00:00 15/09/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
id: D5/.45NS el: 1 cu: C-SICU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [13:12:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd
t0: [12:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [13:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [13:00:00 11/09/2017] tf: [20:00:00 13/09/2017] dt: 3300 id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 1000 vu: ml t0: [13:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vu: ml nb: 1 t0: [13:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [13:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
t0: [13:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4672 id: VEN0US O2 SAT el: 0 cu: C-SICU cg: RN v1: 80 t0: [14:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd
t0: [13:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml st: Stopped t0: [14:00:00 11/09/2017] tf: [13:00:00 12/09/2017] dt: 1380 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml
t0: [14:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vu: ml st: Stopped t0: [14:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [14:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
id: Packed RBC's el: 1 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [14:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 155 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [14:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 190 rs: Manual st: NotStopd
t0: [14:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [14:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 90 vu: ml
t0: [14:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4732 id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Flushed st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: No Impairment st: NotStopd t0: [12:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [12:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [13:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd
t0: [12:00:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [14:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [05:00:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [06:00:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20 KCL rs: Manual st: NotStopd t0: [06:00:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20 KCL rs: Manual st: NotStopd t0: [14:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [14:45:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4567 id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [15:20:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:20:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:20:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:20:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [15:20:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:20:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:20:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 146 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [15:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:05:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 200 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 200 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
tf: [15:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 16 dn: 1 m1: Caspofungin v1: 70 u1: mg m2: NS v2: 250 u2: ml
t0: [16:05:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [16:05:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:05:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [16:05:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:05:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [16:05:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:05:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:05:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [16:05:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [16:05:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:05:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [16:05:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [16:05:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [16:05:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:05:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [16:05:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:05:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:05:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:05:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [16:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [16:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 700 vu: ml t0: [16:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 19.2 vu: ml t0: [16:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [16:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 180 vu: ml
t0: [16:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:47:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4445 id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4445 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [16:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4492 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4492 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [17:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [17:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [17:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [17:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [17:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [17:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 11/09/2017] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml uh: 1 t0: [16:00:00 11/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [17:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [17:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [17:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 7.2 vu: ml t0: [17:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 55 vu: ml
t0: [17:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [16:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [17:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 157 rs: Manual st: NotStopd t0: [17:15:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd
t0: [17:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml
t0: [16:00:00 11/09/2017] tf: [00:00:00 12/09/2017] dt: 480 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:34:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4458 id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd
t0: [18:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [18:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [18:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [18:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [18:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 4.8 vu: ml t0: [18:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [17:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [18:38:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [18:23:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 496 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: VEN0US O2 SAT el: 0 cu: C-SICU cg: RN v1: 80 t0: [19:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [19:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [19:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vu: ml nb: 1 t0: [19:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [19:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 4.8 vu: ml t0: [19:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 70 vu: ml
t0: [19:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:23:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [19:45:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:45:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd
t0: [19:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [20:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [20:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [20:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [20:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 700 vu: ml t0: [20:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [20:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [20:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
t0: [19:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [20:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [20:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [20:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [20:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [20:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [20:00:00 11/09/2017] id: Neg Insp Force(>-25) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 494 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 11/09/2017] id: Ventilator No. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [19:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [19:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Pain Level/Response el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [20:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 11/09/2017] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 11/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [20:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [20:58:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [20:58:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [20:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 74 rs: Manual st: NotStopd t0: [21:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [21:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/09/2017] tf: [23:00:00 11/09/2017] dt: 180 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:45:00 11/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [21:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 300 vu: ml t0: [21:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 70 vu: ml
t0: [20:45:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 150 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 150 ap: none
t0: [21:15:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [21:15:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [21:15:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [21:15:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [21:15:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:15:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4177 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [21:15:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4177 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [21:15:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:15:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [21:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 80 rs: Manual st: NotStopd t0: [22:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [22:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [22:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [22:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [22:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [22:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 23 u1: UNIT tf: [12:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 0 u1: UNIT
t0: [22:06:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [19:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 11/09/2017] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [22:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:30:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:30:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:30:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:30:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:30:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [22:30:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [22:30:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:30:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [22:30:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [22:30:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:30:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:30:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:30:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:30:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:30:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:30:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:30:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [22:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vu: ml nb: 1 t0: [22:30:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [23:00:00 11/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol
t0: [23:00:00 11/09/2017] id: Cartridge/Bag Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 11/09/2017] id: Initials (2 RNs) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 11/09/2017] id: Med Wasted/Amt el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [22:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [22:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 101 rs: Manual st: NotStopd t0: [23:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [23:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [23:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [23:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 80 cv: 80 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 85 cv: 85 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 85 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 165 cv: 8059 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 165 cv: 8059 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 165 cv: 8209 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 165 cv: 8209 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 1148 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 1148 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 85 cv: 7061 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 7061 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 1148 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 80 cv: 1148 ap: estimateVol t0: [23:00:00 11/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 85 cv: 8301 ap: estimateVol t0: [23:00:00 11/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 8301 ap: estimateVol
t0: [00:00:00 12/09/2017] tf: [20:00:00 12/09/2017] dt: 1200 id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 12/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [00:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [00:00:00 12/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [00:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [00:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [00:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 95 rs: Manual st: NotStopd t0: [00:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [00:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 12/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 498 vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [00:00:00 12/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml st: Stopped t0: [00:00:00 12/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml st: Stopped t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [00:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 12/09/2017] id: Gastric Gastric Tube el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [00:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [00:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 12/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 120 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [00:00:00 12/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 2gMgSO4 rs: Manual st: NotStopd t0: [00:00:00 12/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 2gMgSO4 rs: Manual st: NotStopd
t0: [00:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:30:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:30:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:30:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:30:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:30:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:30:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:30:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:30:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:30:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [00:30:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:30:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [00:30:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [00:30:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 12/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:30:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [00:30:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:30:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [00:30:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:30:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 491 u1: ml/B st: NotStopd t0: [00:30:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 12/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [01:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [01:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [01:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [02:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [02:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [02:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 90 vu: ml
t0: [02:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RN v1: 27.7778 u1: ml/cmH st: NotStopd t0: [02:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RN v1: 11.3 u1: L/min st: NotStopd t0: [02:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RN v1: 23 u1: cmH2O st: NotStopd t0: [02:00:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RN v1: 493 u1: ml/B st: NotStopd t0: [02:00:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: Assist Control st: NotStopd t0: [02:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [02:12:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [02:00:00 12/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.9 u1: % rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 516 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.32 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd
t0: [02:00:00 12/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:00:00 12/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 12/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt v2: IV Push st: NotStopd t0: [03:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [03:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [03:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [03:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [03:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [03:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 60 cv: 2660 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 60 cv: 2660 ap: carryForward
io: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ra: 5 ru: ml/hr
id: Carrier el: 1 cu: C-SICU cg: RN io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [03:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [03:15:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 0 vu: ml nb: 1 t0: [03:15:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml st: Restart
t0: [03:15:00 12/09/2017] tf: [14:00:00 12/09/2017] dt: 645 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:30:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3802 id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [03:30:00 12/09/2017] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Not Done st: NotStopd t0: [03:30:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:30:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [03:30:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [03:30:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [03:30:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [03:30:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd
t0: [00:00:00 12/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 12/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 12/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 12/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 12/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 12/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 12/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd t0: [01:00:00 12/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [01:00:00 12/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [01:00:00 12/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [01:00:00 12/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3892 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3892 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [04:00:00 12/09/2017] id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 12/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 12/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [04:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 12/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [04:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [04:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [04:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [04:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 12/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 12/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3772 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3772 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 12/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Mucoid st: NotStopd t0: [04:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 12/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 12/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Comp. Limited st: NotStopd
t0: [04:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 12/09/2017] tf: [14:00:00 12/09/2017] dt: 600 id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 3.75 vu: ml t0: [04:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [04:00:00 12/09/2017] tf: [14:00:00 12/09/2017] dt: 600 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [04:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 12/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml t0: [04:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 120 vu: ml
t0: [04:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [04:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd
t0: [04:15:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 211 rs: Manual st: NotStopd
t0: [04:15:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [04:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3772 id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [04:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [04:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 12/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [04:00:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [04:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 491 u1: ml/B st: NotStopd t0: [04:00:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 12/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 12/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [04:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [04:00:00 12/09/2017] id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 12/09/2017] id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [05:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [05:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 174 rs: Manual st: NotStopd
t0: [05:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [05:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [05:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [05:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4.25 vu: ml t0: [05:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [05:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 138 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [06:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 196 rs: Manual st: NotStopd
t0: [06:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [06:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [06:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [06:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:30:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [06:30:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [06:30:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:30:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:30:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [06:30:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:30:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:30:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:30:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd
t0: [07:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [07:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 166 rs: Manual st: NotStopd
t0: [07:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [07:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [07:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [07:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [07:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [07:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 45 vu: ml
t0: [07:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3532 id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [08:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [08:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [08:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [08:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [08:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 7 vu: ml t0: [08:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml
t0: [08:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 12/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3532 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3532 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
t0: [08:00:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [08:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [08:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 12/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [08:00:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [08:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [08:00:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 12/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 12/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [07:00:00 12/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [07:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [07:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [07:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [07:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [08:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 211 rs: Manual st: NotStopd
t0: [08:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 55 vu: ml
t0: [08:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [09:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [09:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [09:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [09:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [09:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 9 vu: ml t0: [09:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml
t0: [09:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [09:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [09:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 176 rs: Manual st: NotStopd
t0: [09:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [09:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [10:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [10:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [10:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [10:00:00 12/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Barrier el: 0 cu: C-SICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Handout el: 0 cu: C-SICU cg: RN v1: Not Given st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Learner el: 0 cu: C-SICU cg: RN v1: Patient st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Method el: 0 cu: C-SICU cg: RN v1: Explanation st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Readiness el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Response el: 0 cu: C-SICU cg: RN v1: Reinforced st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Activity st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Education Topic #2 el: 0 cu: C-SICU cg: RN v1: ICU Environment st: NotStopd t0: [10:00:00 12/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3412 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd
t0: [10:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/09/2017] id: ETT Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [11:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [11:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [11:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [10:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [10:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 10 vu: ml t0: [10:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [11:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [11:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [11:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 11 vu: ml t0: [11:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [11:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 85 vu: ml
t0: [11:00:00 12/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [11:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [11:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [11:00:00 12/09/2017] id: Pain Location el: 0 cu: C-SICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [11:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [11:00:00 12/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Activity st: NotStopd t0: [11:00:00 12/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [11:00:00 12/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Unable to Stage st: NotStopd t0: [11:00:00 12/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Unable to Stage st: NotStopd t0: [11:00:00 12/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [11:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [11:00:00 12/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [11:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 12/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 12/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [11:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [11:00:00 12/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [11:00:00 12/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Appropriate st: NotStopd
t0: [10:53:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [10:53:00 12/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd
t0: [11:00:00 12/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 113 rs: Manual st: NotStopd t0: [11:00:00 12/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [11:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [11:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd
t0: [08:00:00 12/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 60 vu: ml
t0: [23:00:00 12/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [11:00:00 12/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Good st: NotStopd t0: [11:00:00 12/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [11:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [11:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 12/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [12:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [12:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 12/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [12:00:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [12:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [12:00:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 12/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [02:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3892 id: Cyclosporin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 381 rs: Final st: NotStopd
t0: [12:30:00 12/09/2017] id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 34.4828 u1: units st: NotStopd t0: [12:30:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:30:00 12/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:30:00 12/09/2017] id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 34.4828 u1: units st: NotStopd t0: [12:30:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:30:00 12/09/2017] id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:30:00 12/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.58 u1: L st: NotStopd t0: [12:30:00 12/09/2017] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [12:30:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Pressure Support st: NotStopd
t0: [13:00:00 12/09/2017] id: IV #2 Reason DC'D el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 12/09/2017] id: IV #2 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 12/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: -1 st: D/C'd
io: D5W IV Infusions el: 1 cu: C-SICU cg: RN ra: 75 ru: ml/hr
id: D5W el: 1 cu: C-SICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [06:00:00 12/09/2017] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/09/2017] tf: [13:00:00 12/09/2017] dt: 60 id: IV #2 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Clotted off st: NotStopd t0: [12:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 12/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/09/2017] tf: [13:00:00 12/09/2017] dt: 60 id: IV #2 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 17 st: NotStopd t0: [12:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [12:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [12:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 122 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [12:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [12:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3292 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3292 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 12/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [12:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [12:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [13:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [13:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [13:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 70 rs: Manual st: NotStopd
t0: [12:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [12:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [12:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml t0: [12:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 90 vu: ml t0: [13:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [13:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [13:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml st: Stopped t0: [13:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vu: ml nb: 1 t0: [13:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml
t0: [12:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 12/09/2017] id: Fentanyl el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml
t0: [13:22:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [13:22:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [13:22:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [13:22:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [13:22:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [13:22:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [12:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [14:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [14:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [14:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 69 rs: Manual st: NotStopd
t0: [14:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml st: Stopped t0: [14:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3172 id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [14:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml st: Stopped t0: [14:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 320 vu: ml
t0: [14:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [14:35:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [14:35:00 12/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd
t0: [15:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: -1 ai: 416 vo: 0 st: D/C'd
t0: [15:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 12/09/2017] tf: [07:00:00 13/09/2017] dt: 960 id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [15:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 94 u1: % st: NotStopd
t0: [12:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 12/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [14:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [14:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 12/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3172 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3172 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [14:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3112 id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 17 st: NotStopd t0: [15:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/09/2017] tf: [07:00:00 13/09/2017] dt: 960 id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [15:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [15:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [15:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned st: NotStopd t0: [15:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3052 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd
t0: [12:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml st: Stopped t0: [13:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vu: ml t0: [14:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vu: ml t0: [14:00:00 12/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [15:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [15:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml
t0: [16:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Activity st: NotStopd t0: [16:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [16:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [16:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3052 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 12/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [16:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [16:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 480 vu: ml
tf: [11:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: QD fs: 16 dn: 1 m1: Caspofungin v1: 50 u1: mg m2: NS v2: 250 u2: ml tf: [15:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Caspofungin v1: 50 u1: mg m2: NS v2: 250 u2: ml tf: [15:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: QD fs: 16 dn: 1 m1: Caspofungin v1: 35 u1: mg m2: NS v2: 250 u2: ml tf: [12:00:00 14/09/2017] pt: IV Piggyback rt: IV fr: QD fs: 16 dn: 1 m1: Caspofungin v1: 35 u1: mg m2: NS v2: 250 u2: ml
t0: [16:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [16:15:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [16:15:00 12/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [16:30:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3022 id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 12/09/2017] tf: [07:00:00 13/09/2017] dt: 840 id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [16:00:00 12/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [16:00:00 12/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 12/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [16:00:00 12/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 3 cm v2: 4 cm st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Purple st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [16:00:00 12/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [16:30:00 12/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 12/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [16:30:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3022 id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:30:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:30:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Copious st: NotStopd t0: [17:00:00 12/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [17:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 12/09/2017] tf: [07:00:00 13/09/2017] dt: 840 id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [17:00:00 12/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RN v1: Nasal Cannula st: NotStopd t0: [17:00:00 12/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [17:00:00 12/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RN v1: 5 u1: lpm st: NotStopd t0: [17:00:00 12/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd
t0: [16:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml t0: [17:00:00 12/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [17:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [17:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [17:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [17:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd
t0: [18:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [18:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 150 vu: ml
t0: [16:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 152 rs: Manual st: NotStopd
t0: [17:00:00 12/09/2017] id: Carrier IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vu: ml st: Restart t0: [17:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vu: ml st: Restart
t0: [17:00:00 12/09/2017] tf: [13:30:00 13/09/2017] dt: 1230 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 3052 id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 12/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [18:00:00 12/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd
t0: [18:00:00 12/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [18:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 320 vu: ml
t0: [18:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 133 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [18:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [18:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [18:30:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Copious st: NotStopd t0: [19:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 12/09/2017] tf: [00:00:00 13/09/2017] dt: 360 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml
t0: [18:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [19:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [19:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [19:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [19:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thin st: NotStopd t0: [19:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [19:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 17 st: NotStopd t0: [20:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 12 u1: points st: NotStopd t0: [20:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [20:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/09/2017] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 12/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 12/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [20:00:00 12/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RN v1: 5 u1: lpm st: NotStopd t0: [20:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [20:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [20:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [20:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 83 u1: % st: NotStopd t0: [20:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [20:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [20:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [20:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [20:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 150 vu: ml t0: [20:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml t0: [20:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [20:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 12/09/2017] id: Less Restrict Meas. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [20:00:00 12/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 12/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/09/2017] id: Education Barrier el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2017] id: Education Learner el: 0 cu: C-SICU cg: RN v1: Patient/Family st: NotStopd t0: [20:00:00 12/09/2017] id: Education Method el: 0 cu: C-SICU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 12/09/2017] id: Education Readiness el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/09/2017] id: Education Response el: 0 cu: C-SICU cg: RN v1: Understands st: NotStopd t0: [20:00:00 12/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 12/09/2017] id: Education Topic #2 el: 0 cu: C-SICU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [20:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [20:00:00 12/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [20:00:00 12/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [20:00:00 12/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 12/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [20:00:00 12/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 3 cm v2: 4 cm st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Purple st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [20:00:00 12/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 12/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2812 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2812 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 12/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 12/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 12/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [21:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [21:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [21:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [21:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Copious st: NotStopd t0: [21:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [21:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [21:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [21:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:07:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [21:07:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [21:07:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [21:07:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [21:07:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [21:07:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd
t0: [20:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [22:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 12/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [22:00:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: On st: NotStopd t0: [22:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [22:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [22:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 41 u1: BPM st: NotStopd t0: [22:00:00 12/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [22:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 150 vu: ml t0: [22:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 8 vu: ml t0: [22:00:00 12/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [22:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [23:00:00 12/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [22:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [22:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd
t0: [22:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 103 rs: Manual st: NotStopd t0: [22:30:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:30:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:30:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:30:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [22:30:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:30:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:30:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:30:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [22:30:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:30:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:30:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:30:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:30:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:30:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [22:30:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [22:30:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [22:30:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [22:30:00 12/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:30:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [22:30:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [22:30:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 12/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml
t0: [22:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:30:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:40:00 12/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [22:40:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [22:40:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [22:40:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Nasotracheal Sxn v2: Moderate st: NotStopd
t0: [22:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [22:00:00 12/09/2017] id: O2 Delivery Device el: 0 cu: C-SICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [22:00:00 12/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RRT v1: Nasal Cannula st: NotStopd t0: [22:00:00 12/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [22:00:00 12/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RRT v1: 6 u1: lpm st: NotStopd
tf: [23:00:00 16/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
t0: [22:40:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:40:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:40:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:40:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:40:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:40:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 82 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:40:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:40:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:40:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [22:40:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [22:40:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [22:40:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [22:40:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 92 u1: % st: NotStopd t0: [22:40:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:50:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:50:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:50:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:50:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:50:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:50:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:50:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:50:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [22:50:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [22:50:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [22:50:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [22:50:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 91 u1: % st: NotStopd t0: [22:50:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [23:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:40:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:45:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2647 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:50:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2642 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:50:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2632 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 30 t0: [23:00:00 12/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [23:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [23:00:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [23:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [23:00:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [23:00:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [23:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 22.8 u1: L/min st: NotStopd t0: [23:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 12/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:00:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 12/09/2017] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 617 u1: ml/B st: NotStopd t0: [23:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [23:07:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2625 id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [23:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [23:00:00 12/09/2017] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [23:00:00 12/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 12/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:00:00 12/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [23:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2632 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [23:00:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [23:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd
t0: [23:15:00 12/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [23:15:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Nasotracheal Sxn v2: Moderate st: NotStopd
t0: [23:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 12/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml t0: [23:00:00 12/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [23:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [23:00:00 12/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 12/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 1027 cv: 1027 ap: none t0: [23:00:00 12/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 1027 cv: 1027 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 1087 cv: 5603.5 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 1087 cv: 5603.5 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 1087 cv: 5723.5 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 1087 cv: 5723.5 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 60 cv: 2660 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 1027 cv: 3063.5 ap: carryForward t0: [23:00:00 12/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1027 cv: 3063.5 ap: carryForward t0: [23:00:00 12/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 60 cv: 2660 ap: carryForward t0: [23:00:00 12/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 1027 cv: 11364.5 ap: carryForward t0: [23:00:00 12/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 1027 cv: 11364.5 ap: carryForward
t0: [23:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [23:30:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd
t0: [23:30:00 12/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [23:30:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:30:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:30:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [23:30:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [23:30:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:30:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:30:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:30:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [23:30:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [23:30:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [23:30:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:30:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 2602 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:30:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [23:30:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [23:30:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd
t0: [23:30:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd
tf: [23:00:00 13/09/2017] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 0 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
t0: [00:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 13/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [00:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [00:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [00:00:00 13/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [00:00:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 13/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [00:00:00 13/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 2 cm v2: 4 cm st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Purple st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [00:00:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [00:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [00:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [00:00:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Slurred st: NotStopd t0: [00:00:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 13/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 13/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 13/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 106 rs: Manual st: NotStopd t0: [00:00:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 13/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 300 vu: ml t0: [00:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2572 id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vo: 375 vu: ml t0: [00:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [00:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 20 vu: ml
t0: [00:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2572 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2017] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 375 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 375 ap: none
t0: [00:07:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 221 u1: mmHg rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 27 u1: % rs: Final st: NotStopd t0: [00:07:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [00:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2572 id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:42:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:42:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 30 t0: [00:42:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [00:42:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:42:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:42:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:42:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:42:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Other/Remarks st: NotStopd t0: [00:42:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [00:42:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:42:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:42:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 21.1 u1: L/min st: NotStopd t0: [00:42:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:42:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:42:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:42:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:42:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:42:00 13/09/2017] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 717 u1: ml/B st: NotStopd t0: [00:42:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:42:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
id: Propofol el: 100 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: C-SICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [00:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [00:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [01:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 13/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [01:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [01:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [01:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [01:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 13/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [01:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [01:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 20 vu: ml
t0: [01:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2512 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 172 rs: Manual st: NotStopd t0: [01:05:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:05:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:05:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:05:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:05:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:05:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:05:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:05:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:05:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:05:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:05:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:05:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:05:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:05:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:05:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2507 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:05:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:14:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [01:14:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [01:10:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:10:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:10:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:10:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:10:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:10:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:10:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:10:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:10:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:10:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:10:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:10:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:10:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:10:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:20:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:20:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:20:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:20:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:20:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:20:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:20:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:20:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:20:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:20:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:20:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:20:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:20:00 13/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Intubated st: NotStopd t0: [01:20:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:20:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [01:30:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:30:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:30:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:30:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:30:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:30:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:30:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:30:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:30:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:35:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:35:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:35:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:35:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:35:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:35:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 150 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:35:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:35:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:35:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:35:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:35:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:35:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:35:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:35:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:40:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:40:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:40:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:40:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:40:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:40:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:40:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:40:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:40:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 138 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:40:00 13/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:40:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:40:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:40:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:40:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:40:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:40:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:40:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:40:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:45:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:45:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:45:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:45:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:45:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:45:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:45:00 13/09/2017] id: Procedures el: 0 cu: C-SICU cg: RN v1: Cardiac Echo st: NotStopd t0: [01:45:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:45:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:10:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2502 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:10:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:20:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2492 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:20:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:30:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2482 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2482 id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:35:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2477 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:35:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:35:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:40:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2472 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:40:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:40:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:45:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2467 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:45:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:45:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [01:45:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:45:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [01:45:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [01:45:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [01:45:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:45:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:45:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:45:00 13/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [01:45:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [01:45:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:45:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 18 u1: L/min st: NotStopd t0: [01:45:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:45:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [01:45:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:45:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:45:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:45:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:45:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [01:45:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:45:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 631 u1: ml/B st: NotStopd t0: [01:45:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:45:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [01:45:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [01:45:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:50:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:50:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 st: NotStopd t0: [01:50:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [01:50:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:50:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:50:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd
t0: [00:55:00 13/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 189 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 189 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [00:55:00 13/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [02:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [02:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [02:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2452 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [02:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [03:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [02:00:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [03:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [03:00:00 13/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 800 vu: ml t0: [03:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 150 vu: ml t0: [03:00:00 13/09/2017] tf: [21:00:00 13/09/2017] dt: 1080 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 5.75 vu: ml t0: [03:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [02:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2452 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 320 cv: 5180 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 320 cv: 5190 ap: carryForward
t0: [03:00:00 13/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 13/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [03:00:00 13/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: -1 ai: 210 vo: 0 st: D/C'd
t0: [03:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [03:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [03:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RN v1: 8 st: NotStopd t0: [03:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [03:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [03:00:00 13/09/2017] id: O2 Delivery Device el: 0 cu: C-SICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [03:00:00 13/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 13/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [03:00:00 13/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [03:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [03:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [03:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [03:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [03:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [03:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd t0: [03:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml
t0: [03:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2392 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: -227.32 cv: -227.32 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 92.68 cv: 5152.15 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 92.68 cv: 6347.15 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: -227.32 cv: 1157.15 ap: carryForward t0: [23:00:00 13/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: -227.32 cv: 12521.6 ap: carryForward
t0: [03:01:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -9 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 146 u1: mmHg rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [03:01:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [03:35:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [03:35:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [03:35:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [03:35:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:35:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:35:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd
t0: [00:00:00 13/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 13/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 13/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 13/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [04:00:00 13/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 2 cm v2: 4 cm st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Purple st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [04:00:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [04:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 13/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 13/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 13/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 13/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [04:00:00 13/09/2017] id: RSBI Not Completed el: 0 cu: C-SICU cg: RRT v1: FiO2> 60% st: NotStopd t0: [04:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 16 t0: [04:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [04:00:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [04:00:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 641 u1: ml/B st: NotStopd t0: [04:00:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [05:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [05:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [05:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [05:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [05:00:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 150 vu: ml t0: [05:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 10 vu: ml t0: [05:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [05:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [06:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [06:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [06:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [06:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [06:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [07:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [07:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [06:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [06:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 5 vu: ml t0: [06:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [06:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 350 vu: ml
t0: [07:00:00 13/09/2017] id: O2 Delivery Device el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 13/09/2017] id: O2 Delivery Device#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 13/09/2017] id: O2 Flow (lpm) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [07:00:00 13/09/2017] id: O2 Flow (lpm) #2 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [03:00:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 190 rs: Manual st: NotStopd t0: [06:00:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 169 rs: Manual st: NotStopd t0: [07:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [07:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 0 vu: ml
t0: [06:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2212 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 40 vu: ml t0: [07:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [07:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 11.52 vu: ml t0: [07:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [07:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 5 vu: ml
t0: [06:28:00 13/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.6 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.6 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 33 u1: % rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 11.4 u1: gm/dl rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 469 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.59 u1: /mic l rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 18.6 rs: Final st: NotStopd
t0: [07:00:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [07:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 16 t0: [07:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [07:00:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [07:00:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 13/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [07:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [07:00:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [07:00:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [07:00:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [07:00:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
id: Carrier el: 1 cu: C-SICU cg: RN io: Carrier 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 13/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 13/09/2017] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 13/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 13/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [08:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [08:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [08:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [08:00:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [08:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [08:00:00 13/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 13/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [08:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [08:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [08:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [08:00:00 13/09/2017] tf: [20:00:00 13/09/2017] dt: 720 id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 80 vu: ml t0: [08:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 320 vu: ml
t0: [08:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:32:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 151 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.34 rs: Final st: NotStopd
t0: [08:32:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [08:32:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [08:30:00 13/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:30:00 13/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:30:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:30:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:30:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [08:30:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:30:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:30:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [08:30:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:30:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:30:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 2062 id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:30:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [08:30:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [08:30:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:30:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:30:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:30:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [08:30:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [08:30:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:30:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [08:30:00 13/09/2017] id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:30:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [08:30:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:30:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:30:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:30:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:30:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:30:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:30:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:30:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:30:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:30:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [08:30:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:28:00 13/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 187 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 187 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [06:28:00 13/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [09:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [09:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 134 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [09:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [09:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [09:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [08:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [09:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [09:00:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [09:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [09:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [09:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [09:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [09:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 120 vu: ml
t0: [09:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd
t0: [09:00:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml
t0: [10:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [10:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [10:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [10:00:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 120 vu: ml t0: [10:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [10:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 7 vu: ml t0: [10:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [10:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 220 vu: ml
t0: [10:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 13/09/2017] id: Education Barrier el: 0 cu: C-SICU cg: RN v1: Altered LOC st: NotStopd t0: [08:00:00 13/09/2017] id: Education Handout el: 0 cu: C-SICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 13/09/2017] id: Education Learner el: 0 cu: C-SICU cg: RN v1: Patient st: NotStopd t0: [08:00:00 13/09/2017] id: Education Method el: 0 cu: C-SICU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 13/09/2017] id: Education Readiness el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [08:00:00 13/09/2017] id: Education Response el: 0 cu: C-SICU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 13/09/2017] id: Education Topic #2 el: 0 cu: C-SICU cg: RN v1: ICU Environment st: NotStopd t0: [10:00:00 13/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 13/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 13/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [10:00:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [10:00:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [10:30:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:30:00 13/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [10:30:00 13/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [10:30:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [10:30:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [10:30:00 13/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [10:30:00 13/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 4 cm v2: 2 cm st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [10:30:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [10:30:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [10:30:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [10:30:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:30:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [10:30:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [10:30:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [10:30:00 13/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd
t0: [11:00:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 42.8571 u1: ml/cmH st: NotStopd t0: [11:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [11:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 16 t0: [11:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [11:00:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [11:00:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [11:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [11:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [11:00:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [11:00:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [11:00:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:00:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [11:00:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [11:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [11:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [11:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [11:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [11:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [11:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 7 vu: ml t0: [11:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [11:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [11:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 300 vu: ml
t0: [11:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 120 vu: ml t0: [11:00:00 13/09/2017] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml
tf: [14:00:00 19/09/2017] pt: IV Piggyback rt: IV fr: Q6H fs: 0, 6, 12, 18 dn: 4 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [12:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [12:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 13/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 13/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [12:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [12:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [12:00:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [12:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [12:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 13/09/2017] id: Procedures el: 0 cu: C-SICU cg: RN v1: Bronchoscopy st: NotStopd t0: [12:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [12:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Moderate st: NotStopd t0: [12:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [12:05:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [12:05:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:05:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [12:05:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:05:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:05:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:05:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:05:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:05:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:05:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:05:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:05:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:05:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:05:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:05:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [12:05:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [12:05:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [12:05:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:05:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:05:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [12:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [12:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 6 vu: ml t0: [12:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml
t0: [12:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:05:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:05:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [12:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [12:30:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [12:30:00 13/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [12:30:00 13/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [12:30:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:30:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:30:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:30:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:30:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:30:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [12:30:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:30:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:30:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:30:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:30:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:30:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:30:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:30:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:30:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:30:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:30:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:30:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:30:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:30:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:30:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:30:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:30:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:30:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:30:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [12:30:00 13/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:30:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:30:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:30:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:30:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:30:00 13/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [12:30:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:30:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [12:30:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [12:30:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:30:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:30:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:30:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:30:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:30:00 13/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:30:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:30:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:30:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [12:30:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [12:30:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [12:30:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 180 vu: ml t0: [12:30:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [12:30:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [12:30:00 13/09/2017] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [12:30:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [12:30:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 260 vu: ml
t0: [06:28:00 13/09/2017] id: Cyclosporin Drug Level el: 0 cu: C-SICU cg: 3161 v1: 131 rs: Final st: NotStopd
t0: [13:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [13:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [13:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [13:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [13:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [13:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [13:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [13:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 130 vu: ml
t0: [13:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:01:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [13:01:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [13:30:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [13:30:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [13:30:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 90 vu: ml t0: [13:30:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [13:30:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [13:30:00 13/09/2017] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [13:30:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [13:30:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml
t0: [14:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [14:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [14:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [14:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [14:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [14:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [14:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [14:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [14:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 310 vu: ml
t0: [14:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [14:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [14:30:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [14:30:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [14:30:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [14:30:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [14:30:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [14:30:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [14:30:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml
t0: [14:30:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [14:30:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [14:30:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:30:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:30:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:30:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:30:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:30:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:30:00 13/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:30:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:30:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:30:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [14:30:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [15:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [15:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [15:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 147 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [15:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 5 vu: ml t0: [15:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 3.84 vu: ml t0: [15:00:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 180 vu: ml t0: [15:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [15:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [15:00:00 13/09/2017] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 20 vu: ml t0: [15:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 5 vu: ml t0: [15:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 260 vu: ml
t0: [15:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 1672 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:19:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.24 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [15:19:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [15:30:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 200 vu: ml
t0: [15:00:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [15:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [15:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 16 t0: [15:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [15:00:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [15:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 13/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [15:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 6 st: NotStopd t0: [15:00:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [15:00:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [15:00:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [15:00:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [15:00:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
tf: [15:00:00 14/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [16:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [16:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 13/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [16:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 13/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 13/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [16:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [16:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 1612 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: CT scan st: NotStopd t0: [16:00:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [16:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 13/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [16:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [16:00:00 13/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd
t0: [15:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Small t0: [16:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [16:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [16:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [16:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 4 vu: ml t0: [16:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [16:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 140 vu: ml
t0: [16:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 18 t0: [16:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3 st: NotStopd
t0: [17:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 13/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 168 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [17:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [17:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 13/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 13/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [17:00:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [17:00:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [17:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [17:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [17:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [17:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [17:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium t0: [17:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 180 vu: ml
t0: [17:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 13/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [18:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [18:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [18:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 157 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [18:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [18:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [18:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [18:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [18:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [18:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 1492 id: Gastric Gastric Tube el: 1 cu: C-SICU cg: RN vo: 5 vu: ml t0: [18:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 260 vu: ml
t0: [18:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 13/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml
t0: [18:00:00 13/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 2gmag rs: Manual st: NotStopd t0: [18:00:00 13/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 2gmag rs: Manual st: NotStopd
t0: [18:00:00 13/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 13/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [19:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [19:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [19:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 152 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [19:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [19:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [19:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [19:00:00 13/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 50 vu: ml t0: [19:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [19:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml t0: [19:00:00 13/09/2017] id: Gastric Gastric Tube el: 1 cu: C-SICU cg: RN vo: 5 vu: ml t0: [19:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 400 vu: ml
t0: [19:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 13/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 72.1 u1: kg st: NotStopd t0: [17:00:00 13/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 72.1 u1: kg st: NotStopd t0: [18:00:00 13/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 72.1 u1: kg st: NotStopd t0: [19:00:00 13/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: 3161 v1: 72.1 u1: kg st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [19:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.3 rs: Final st: NotStopd
t0: [23:00:00 13/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: 1663 cv: 10 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: 3161 cv: 10 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: 1663 cv: 820 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: 3161 cv: 820 ap: none
t0: [20:00:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [20:00:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [20:00:00 13/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 13/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [20:00:00 13/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 13/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 18 t0: [20:00:00 13/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [20:00:00 13/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 13/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [20:00:00 13/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 13/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 13/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 13/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 13/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 3 st: NotStopd t0: [20:00:00 13/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [20:00:00 13/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: Apnea Time Interval el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 13/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 13/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 13/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 571 u1: ml/B st: NotStopd t0: [20:00:00 13/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 13/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 13/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 13/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 13/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [20:00:00 13/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 13/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 76 rs: Manual st: NotStopd t0: [20:00:00 13/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 13/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 13/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 13/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 13/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 13/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 13/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 13/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 13/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 13/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 161 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 105.667 u1: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [20:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 162 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: Repositioned v2: Backrub st: NotStopd t0: [20:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 13/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 13/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 13/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 13/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 13/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 13/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 13/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 13/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [20:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 13/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 13/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 13/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 13/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [20:00:00 13/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 13/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 13/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 13/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 13/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [20:00:00 13/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 13/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [20:00:00 13/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [20:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 13/09/2017] tf: [18:52:00 14/09/2017] dt: 1372 id: Untoward Effect el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 13/09/2017] id: Untoward Effect el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 13/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 76 rs: Manual st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 13/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 13/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 13/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [20:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 13/09/2017] id: Carrier 250.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 111 vo: 10 vu: ml st: Stopped t0: [20:00:00 13/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large t0: [20:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 650 vu: ml
t0: [20:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 13/09/2017] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [21:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [21:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [21:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [21:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd
t0: [21:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [21:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [21:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [21:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 160 vu: ml
t0: [21:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [22:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 13/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 13/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 13/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [22:00:00 13/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 13/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [22:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [22:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 13/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 13/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [22:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [22:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [22:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml
t0: [22:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 200 vu: ml
t0: [22:07:00 13/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [22:07:00 13/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [22:07:00 13/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [22:07:00 13/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd
tf: [22:00:00 27/09/2017] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate v1: 12.5-25 u1: mcg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: OU fr: PRN m1: Lacri-Lube Oint v1: 1 u1: Appl
t0: [23:00:00 13/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 13/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 13/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 161 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Push st: NotStopd t0: [23:00:00 13/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 13/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [23:00:00 13/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [23:00:00 13/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 13/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 13/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 13/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 13/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [23:00:00 13/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [23:00:00 13/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 13/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 320 vu: ml
t0: [22:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 13/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 13/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 13/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -227.32 cv: -227.32 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 92.68 cv: 5152.15 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 92.68 cv: 6347.15 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 320 cv: 5180 ap: none t0: [23:00:00 13/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -227.32 cv: 1157.15 ap: carryForward t0: [23:00:00 13/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 320 cv: 5190 ap: carryForward t0: [23:00:00 13/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -227.32 cv: 12521.6 ap: carryForward
t0: [00:00:00 14/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 14/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 14/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 18 t0: [00:00:00 14/09/2017] id: Extubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [00:00:00 14/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 14/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:3.3 st: NotStopd t0: [00:00:00 14/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 14/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 14/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 14/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 14/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 8.63 u1: L/min st: NotStopd t0: [00:00:00 14/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 14/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 14/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 14/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 617 u1: ml/B st: NotStopd t0: [00:00:00 14/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 14/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 14/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 14/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 14/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 14/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 158 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [00:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 14/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [00:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [00:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [00:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 160 vu: ml
t0: [00:00:00 14/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline IV Infusions du: ml rt: Intravenous Push
t0: [22:00:00 13/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 14/09/2017] id: Cough Effort el: 0 cu: C-SICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 14/09/2017] id: Cough Type el: 0 cu: C-SICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 14/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 14/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 14/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 14/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 14/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 14/09/2017] id: Education Topic #1 el: 0 cu: C-SICU cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 14/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 14/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 14/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 14/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 14/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 14/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 14/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 14/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 14/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 14/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 14/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Unable to Stage v2: No st: NotStopd t0: [00:00:00 14/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Unable to Stage v2: No st: NotStopd t0: [00:00:00 14/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 14/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [00:00:00 14/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 4 cm v2: 3 cm st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 14/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [00:00:00 14/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 14/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 14/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 14/09/2017] id: Respiratory Effort el: 0 cu: C-SICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 14/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 14/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [00:00:00 14/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 14/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 14/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 14/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 14/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 14/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [00:00:00 14/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [00:00:00 14/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 14/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 14/09/2017] id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 14/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 14/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 221 rs: Manual st: NotStopd t0: [01:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [01:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 155 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [01:00:00 14/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [01:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 14/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 14/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 14/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: RN v1: 221 rs: Manual st: NotStopd
t0: [00:00:00 14/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 14/09/2017] id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [01:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [01:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [01:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [01:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 180 vu: ml
t0: [00:00:00 14/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 14/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 14/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 260 ap: none
t0: [00:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [01:00:00 14/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [01:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 14/09/2017] id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 14/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 14/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [01:00:00 14/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: Repositioned v2: Backrub st: NotStopd t0: [01:00:00 14/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 14/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 14/09/2017] id: ROM el: 0 cu: C-SICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [01:00:00 14/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:00:00 14/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 14/09/2017] id: Untoward Effect el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 14/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 155 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 156 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [02:00:00 14/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [02:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 14/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [02:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 14/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 1012 id: .9% Normal Saline IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [02:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 14/09/2017] id: .9% Normal Saline IV Infusions el: 1 cu: C-SICU cg: RN ai: 116 vo: 200 vu: ml t0: [02:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml nb: 1 t0: [02:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [02:00:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 1012 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 500 vu: ml
t0: [02:00:00 14/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 14/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 14/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 14/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 14/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 157 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [03:00:00 14/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 72.1 u1: kg st: NotStopd t0: [03:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 14/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 14/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [03:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: C-SICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [03:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: C-SICU cg: RN ai: 168 vo: 75 vu: ml t0: [03:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml
t0: [03:00:00 14/09/2017] id: Propofol el: 1 cu: C-SICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 14/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 3323.42 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 3583.42 ap: none
t0: [03:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1000 vu: ml
t0: [03:23:00 14/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -4 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [03:23:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 228 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 228 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.14 rs: Final st: NotStopd t0: [03:23:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd
t0: [03:30:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [03:30:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [03:30:00 14/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml
t0: [03:30:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:15:00 14/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 36.8 u1: % rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 485 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.91 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 rs: Final st: NotStopd
t0: [01:00:00 14/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [01:00:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 1072 id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [03:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [04:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 14/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 14/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 14/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 14/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 14/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 14/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 14/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 14/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 14/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 14/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 14/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 14/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 14/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 14/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 14/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 14/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [04:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 14/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 14/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 14/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 14/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 14/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [04:00:00 14/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 14/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 14/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 14/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 14/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 14/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 14/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 14/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 14/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [01:00:00 14/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [04:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [04:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [04:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [04:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 3 vu: ml
t0: [04:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 14/09/2017] dt: 24 id: Stool Out Total el: 3 cu: -1 cg: RN cv: 0 ap: carryForward
t0: [03:15:00 14/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 234 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 234 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:15:00 14/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [04:00:00 14/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 14/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [04:00:00 14/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd
t0: [04:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [05:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 14/09/2017] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [05:00:00 14/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 100 u1: units st: NotStopd t0: [05:00:00 14/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [05:00:00 14/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [05:00:00 14/09/2017] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [05:00:00 14/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 14/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 14/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 14/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 14/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [05:00:00 14/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 14/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [05:00:00 14/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 14/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 100 u1: units st: NotStopd t0: [05:00:00 14/09/2017] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 14/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:00:00 14/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.45 u1: L st: NotStopd t0: [05:00:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 14/09/2017] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 613 u1: ml/B st: NotStopd t0: [05:00:00 14/09/2017] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 14/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 14/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 14/09/2017] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [05:00:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: RN v1: 220 rs: Manual st: NotStopd t0: [05:00:00 14/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 14/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [05:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [05:00:00 14/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: Repositioned st: NotStopd t0: [05:00:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 14/09/2017] id: Untoward Effect el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 220 rs: Manual st: NotStopd
t0: [05:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [05:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [05:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml nb: 1 t0: [05:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 4 vu: ml t0: [05:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [05:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [06:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [06:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [06:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [06:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 6 vu: ml t0: [06:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [06:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: RN v1: 171 rs: Manual st: NotStopd t0: [07:00:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 171 rs: Manual st: NotStopd
t0: [07:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:45:00 14/09/2017] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [07:45:00 14/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:45:00 14/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [07:45:00 14/09/2017] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [07:45:00 14/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:45:00 14/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:45:00 14/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:45:00 14/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:45:00 14/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [07:45:00 14/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [07:45:00 14/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:45:00 14/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [07:45:00 14/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:45:00 14/09/2017] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [07:45:00 14/09/2017] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [07:45:00 14/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [07:45:00 14/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:45:00 14/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:45:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:45:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Brown v2: Thick st: NotStopd t0: [07:45:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [07:45:00 14/09/2017] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [07:45:00 14/09/2017] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:45:00 14/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [07:45:00 14/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:45:00 14/09/2017] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 14/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 14/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 14/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: Education Barrier el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 14/09/2017] id: Education Handout el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 14/09/2017] id: Education Learner el: 0 cu: MICU cg: RN v1: Patient st: NotStopd t0: [08:00:00 14/09/2017] id: Education Method el: 0 cu: MICU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 14/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 14/09/2017] id: Education Readiness el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: Education Response el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 14/09/2017] id: Education Topic #2 el: 0 cu: MICU cg: RN v1: Medications st: NotStopd t0: [08:00:00 14/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 14/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 14/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 14/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 14/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 14/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 14/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 14/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 14/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 14/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 14/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 14/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [08:00:00 14/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 2 cm st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [08:00:00 14/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 14/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 14/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 14/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [08:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 14/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 14/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 14/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [08:00:00 14/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 14/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 14/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 14/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 14/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 14/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [08:00:00 14/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [08:00:00 14/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 14/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 14/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 20 vu: ml t0: [08:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 15.36 vu: ml t0: [08:00:00 14/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 304 vo: 90 vu: ml t0: [08:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [08:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 13 vu: ml t0: [08:00:00 14/09/2017] id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [08:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [08:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [08:22:00 14/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.15 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [08:22:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd
t0: [09:00:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [09:00:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [08:00:00 14/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 14/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [08:00:00 14/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml
t0: [09:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [09:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [10:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 20 vu: ml t0: [10:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 15.36 vu: ml t0: [10:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [10:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 14 vu: ml t0: [10:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml
t0: [09:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [17:00:00 25/09/2017] pt: IV Piggyback rt: IV fr: QD fs: 16 dn: 1 m1: Caspofungin v1: 50 u1: mg m2: NS v2: 250 u2: ml
t0: [10:00:00 14/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [10:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [10:00:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [10:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [10:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 14/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [10:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd t0: [10:30:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:30:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [10:30:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:30:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:30:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:30:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [10:30:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [10:30:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:30:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [11:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [11:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [11:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [11:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 6 vu: ml t0: [11:30:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [11:30:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [11:30:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [11:30:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 2.5 vu: ml t0: [11:30:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [11:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:30:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:30:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:30:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:30:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [11:30:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:30:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:30:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:30:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [11:30:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [11:30:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:30:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 78 rs: Manual st: NotStopd
t0: [11:30:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 14/09/2017] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 14/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 14/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [12:00:00 14/09/2017] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [12:00:00 14/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 14/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 14/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 14/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 14/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 14/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 14/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [12:00:00 14/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 14/09/2017] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [12:00:00 14/09/2017] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 14/09/2017] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [12:00:00 14/09/2017] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 14/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 14/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 14/09/2017] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 14/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [10:00:00 14/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [10:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [10:00:00 14/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [10:00:00 14/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 2 cm st: NotStopd t0: [10:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [10:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [10:00:00 14/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [10:00:00 14/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [10:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 14/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 14/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 14/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 14/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 14/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 14/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 14/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 14/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 14/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 14/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 14/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 14/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 14/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 14/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [12:00:00 14/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 2 cm st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [12:00:00 14/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 14/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 14/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 14/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 14/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 14/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 14/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [12:00:00 14/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 14/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 14/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 14/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 14/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 14/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 14/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 14/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 14/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 14/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 14/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [12:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [12:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [12:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 1 vu: ml t0: [12:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [12:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [12:00:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [12:00:00 14/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml
t0: [12:30:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:30:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:30:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [12:30:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 126 u1: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:30:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:30:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:30:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [12:30:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [12:30:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:30:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:30:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 64 rs: Manual st: NotStopd
t0: [12:30:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:30:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [13:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [13:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [13:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [13:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [13:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 2 vu: ml t0: [13:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [13:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:15:00 14/09/2017] id: Cyclosporin Drug Level el: 0 cu: MICU cg: 1663 v1: 60 rs: Final st: NotStopd
tf: [18:00:00 25/09/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 14, 2 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [14:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [14:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [14:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [14:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [14:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [14:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 2 vu: ml
t0: [14:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [14:30:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 14/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:30:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 14/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:30:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:30:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:30:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:30:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:30:00 14/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:30:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:30:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [14:30:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [14:30:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:30:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:30:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:30:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:30:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [14:30:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [14:30:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:30:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:30:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:30:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 14/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:30:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 232 id: Cuff Pressure-Airway el: 0 cu: MICU cg: RN u1: cmH2O st: NotStopd t0: [15:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [15:00:00 14/09/2017] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/09/2017] id: Extubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 17 st: NotStopd t0: [15:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [15:00:00 14/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 14/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [15:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:00:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 232 id: Pain Cause el: 0 cu: MICU cg: RN v1: Movement/Turning st: NotStopd t0: [15:00:00 14/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [15:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [15:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [15:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Tenacious st: NotStopd t0: [15:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [14:30:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [14:30:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [14:30:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 0.5 vu: ml t0: [14:30:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [14:30:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 14/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [15:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [15:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [15:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [15:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 0.5 vu: ml
t0: [15:17:00 14/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -4 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.08 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [15:17:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd
t0: [15:30:00 14/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Tenacious st: NotStopd t0: [15:30:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [16:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 14/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [16:00:00 14/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [16:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 14/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [16:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [16:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [16:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 1 vu: ml
t0: [16:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 14/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:30:00 14/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 14/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:30:00 14/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:30:00 14/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:30:00 14/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [15:30:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [15:30:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [15:30:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [16:00:00 14/09/2017] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [16:00:00 14/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 14/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [16:00:00 14/09/2017] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 17 st: NotStopd t0: [16:00:00 14/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 14/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 14/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 14/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 14/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 14/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 14/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [16:00:00 14/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 14/09/2017] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [16:00:00 14/09/2017] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2017] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [16:00:00 14/09/2017] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 14/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 14/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 14/09/2017] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 14/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 14/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 14/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 14/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 14/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 14/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 14/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 14/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 14/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 14/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 14/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 14/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [16:00:00 14/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 14/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 14/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 14/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 14/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 14/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [16:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [16:00:00 14/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 14/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 14/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 14/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 14/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 14/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 14/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 14/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 14/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 14/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 14/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 14/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [16:00:00 14/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 14/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 14/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 14/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 14/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [16:00:00 14/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 14/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 14/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 14/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 14/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 14/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [17:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [17:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [17:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [17:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [17:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [16:00:00 14/09/2017] id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [17:00:00 14/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [17:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 10 vu: ml t0: [17:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 7.68 vu: ml t0: [17:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [17:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 1 vu: ml t0: [17:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [17:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 260 ap: none
tf: [16:00:00 15/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Calcium Gluconate v1: 3 u1: gm m2: NS v2: 250 u2: ml
t0: [17:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [17:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd
t0: [17:28:00 14/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.14 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [17:28:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd
t0: [17:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 14/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd
t0: [15:30:00 14/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [17:30:00 14/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [17:30:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [17:30:00 14/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [17:30:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [17:30:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [17:30:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 1 vu: ml
t0: [17:30:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd t0: [17:30:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 20kcl rs: Manual st: NotStopd
t0: [08:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 14/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [18:00:00 14/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [18:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [18:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 40 u2: BPM st: NotStopd t0: [18:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 14/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned st: NotStopd t0: [18:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 222 vo: 5 vu: ml t0: [18:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 126 vo: 3.84 vu: ml t0: [18:00:00 14/09/2017] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 37.5 vu: ml t0: [18:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 110 vo: 1 vu: ml t0: [18:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [18:00:00 14/09/2017] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 14/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 5170 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -1586.58 ap: carryForward t0: [23:00:00 14/09/2017] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 5170 ap: carryForward t0: [23:00:00 14/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: 10935.1 ap: carryForward
tf: [14:15:00 29/09/2017] dt: 21324 cu: MICU di: No Disch Status
t0: [18:50:00 14/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 172 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 172 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.08 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [18:50:00 14/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [18:57:00 14/09/2017] id: BSA el: 1033 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 64 u1: kg t0: [18:57:00 14/09/2017] id: Allergy 1 el: 1020 cu: MICU cg: -1 v1: No Known Drug Allergies t0: [18:57:00 14/09/2017] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [18:57:00 14/09/2017] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [18:57:00 14/09/2017] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: Readmission el: 1014 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [18:57:00 14/09/2017] id: Religion el: 1000 cu: MICU cg: -1 v1: RCA t0: [18:57:00 14/09/2017] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: Ext el: 1010 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: PIN el: 1012 cu: MICU cg: -1 t0: [18:57:00 14/09/2017] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 14/09/2017] tf: [17:00:00 26/09/2017] dt: 17160 id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 195 rs: Manual st: NotStopd
t0: [19:00:00 14/09/2017] tf: [08:00:00 15/09/2017] dt: 780 id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [19:00:00 14/09/2017] tf: [07:30:00 20/09/2017] dt: 7950 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [19:00:00 14/09/2017] tf: [09:00:00 16/09/2017] dt: 2280 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 14/09/2017] tf: [18:00:00 16/09/2017] dt: 2820 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 95 vu: ml
t0: [19:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21315 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 14/09/2017] tf: [07:00:00 18/09/2017] dt: 5040 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:19:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 617 u1: ml/B st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [19:19:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21296 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:23:00 14/09/2017] tf: [18:52:00 14/09/2017] dt: 209 id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 19.5 rs: Final st: NotStopd
t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [20:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2017] tf: [13:00:00 26/09/2017] dt: 16860 id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 14/09/2017] tf: [01:00:00 29/09/2017] dt: 20460 id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2017] tf: [01:00:00 29/09/2017] dt: 20460 id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2017] tf: [01:00:00 29/09/2017] dt: 20460 id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/09/2017] tf: [13:00:00 26/09/2017] dt: 16860 id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Assistance Device el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 14/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [20:00:00 14/09/2017] tf: [01:00:00 29/09/2017] dt: 20460 id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2017] tf: [12:00:00 29/09/2017] dt: 21120 id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Speech el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 14/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [20:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 164 rs: Manual st: NotStopd
t0: [21:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [21:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [21:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21195 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [20:00:00 15/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Calcium Gluconate v1: 3 u1: gm m2: NS v2: 250 u2: ml tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm
t0: [22:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 14/09/2017] tf: [16:00:00 26/09/2017] dt: 17040 id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [21:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21195 id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [21:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [21:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21195 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [21:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [21:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml t0: [22:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [22:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21135 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [22:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [22:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [22:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21135 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 147 rs: Manual st: NotStopd t0: [22:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 131 rs: Manual st: NotStopd t0: [23:00:00 14/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 14/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 14/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [23:00:00 14/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 14/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 14/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 14/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 14/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 14/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 14/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 14/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [23:00:00 14/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 14/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [23:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21075 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [23:00:00 14/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [23:00:00 14/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [23:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21075 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 14/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 380 cv: 380 ap: none t0: [23:00:00 14/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -284.32 cv: -284.32 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 95.68 cv: 4100.82 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95.68 cv: 4360.82 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 380 cv: 6205 ap: none t0: [23:00:00 14/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -284.32 cv: -1844.18 ap: carryForward t0: [23:00:00 14/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 380 cv: 6205 ap: carryForward t0: [23:00:00 14/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -284.32 cv: 10677.5 ap: carryForward
t0: [00:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 125 rs: Manual st: NotStopd
t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 15/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [00:00:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 643 u1: ml/B st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: Family Communication el: 0 cu: MICU cg: RN st: NotStopd t0: [22:00:00 14/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 14/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 14/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 14/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 14/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 14/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 14/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 14/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [22:00:00 14/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 14/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [22:00:00 14/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 15/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 15/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 15/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [00:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 15/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 15/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [00:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [00:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 15/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [00:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [01:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [01:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [00:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [00:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml t0: [01:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [01:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20955 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [01:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [01:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 440 vu: ml
t0: [00:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 21015 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20955 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [03:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [02:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20895 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [02:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [02:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml t0: [03:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [03:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [03:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20835 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [03:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [03:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [02:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20895 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20835 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 15/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 240 cv: 240 ap: none t0: [23:00:00 15/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -146.32 cv: -146.32 ap: none t0: [23:00:00 15/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 93.68 cv: 3351.82 ap: none t0: [23:00:00 15/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 93.68 cv: 3481.82 ap: none t0: [23:00:00 15/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 240 cv: 6490 ap: none t0: [23:00:00 15/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -146.32 cv: -3048.18 ap: none t0: [23:00:00 15/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 240 cv: 6530 ap: none t0: [23:00:00 15/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -146.32 cv: 7629.27 ap: carryForward
t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 15/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [04:00:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 535 u1: ml/B st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd t0: [02:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [02:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd t0: [03:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 15/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 15/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [04:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [04:00:00 15/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 15/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [04:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [04:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 15/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 15/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [04:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [04:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 15/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 15/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [04:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 15/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [04:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [04:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [04:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml t0: [05:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [05:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [05:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20715 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [05:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [04:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20775 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20715 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/09/2017] tf: [14:15:00 29/09/2017] dt: 21255 id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd t0: [05:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd t0: [06:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 92 rs: Manual st: NotStopd
t0: [05:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [06:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [05:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20646 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.24 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [06:09:00 15/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd
t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 83.8509 u1: units st: NotStopd t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 83.8509 u1: units st: NotStopd t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [06:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20655 id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.322 u1: L st: NotStopd
t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.8 u1: % rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 u1: gm/dl rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 519 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd
t0: [04:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [06:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [06:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [07:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [07:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [07:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [07:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [07:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [07:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [07:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: BUN el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 91 rs: Manual st: NotStopd
t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:00:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [07:00:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:00:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 15/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [07:00:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:00:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [07:00:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20595 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr io: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ra: 10 ru: ml/hr
t0: [08:00:00 15/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: MICU cg: -1 ai: 416 vo: 0 st: D/C'd
tf: [07:00:00 16/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 15/09/2017] tf: [18:00:00 26/09/2017] dt: 16440 id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [08:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 15/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [08:00:00 15/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 15/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 15/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [08:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 15/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 15/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [08:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [08:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Weight Change el: 0 cu: MICU cg: RN v1: -1.2 u1: kg st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Daily Weight el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [08:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Activity el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Mobility el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Moisture el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden Score el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 15/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 40 vu: ml t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [08:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [08:00:00 15/09/2017] tf: [20:00:00 28/09/2017] dt: 19440 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [08:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [07:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20535 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [09:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [09:00:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [09:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [09:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [09:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [09:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [09:00:00 15/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [09:00:00 15/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Wound Gel st: NotStopd t0: [09:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [09:00:00 15/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [09:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [09:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [09:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [09:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [09:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20475 id: Carrier 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 111 vo: 50 vu: ml
t0: [08:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [09:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 101 rs: Manual st: NotStopd t0: [10:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 167 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [10:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20415 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [10:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd
t0: [10:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [10:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20415 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [10:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [10:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20415 id: Carrier 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 111 vo: 10 vu: ml t0: [10:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [10:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20415 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [10:30:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [10:30:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [10:30:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:30:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [10:30:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [10:30:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [10:30:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [10:30:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:30:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:30:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:30:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [10:30:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [10:30:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [10:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20385 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd
t0: [11:00:00 15/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 15/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [11:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [11:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [11:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [11:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [11:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [11:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [11:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [11:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [11:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [11:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [11:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [11:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [11:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [11:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [11:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 15/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [11:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [11:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [11:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [11:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [11:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [11:00:00 15/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [11:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [11:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [11:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [11:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [11:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [11:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 15/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [11:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: Carrier 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 111 vo: 10 vu: ml t0: [11:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 420 vu: ml
t0: [11:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20355 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd
t0: [11:23:00 15/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [11:23:00 15/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [11:23:00 15/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [11:23:00 15/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd
t0: [11:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [11:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [11:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [12:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 15/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [12:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20295 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [12:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [12:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [12:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20295 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [12:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [12:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20295 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:57:00 15/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [10:57:00 15/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd
t0: [05:47:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20668 id: Cyclosporin Drug Level el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd
t0: [11:23:00 15/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: RN v1: 7.46 rs: Final st: NotStopd t0: [11:23:00 15/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: RN v1: 7.46 rs: Final st: NotStopd
t0: [12:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20265 id: Procedures el: 0 cu: MICU cg: RN v1: Angiography st: NotStopd
tf: [12:00:00 16/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
tf: [18:00:00 25/09/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 750 u1: mg m2: D5W v2: 250 u2: ml
t0: [10:57:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20358 id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 23.8 rs: Final st: NotStopd
t0: [13:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20235 id: Readmit <48 hrs el: 0 cu: MICU cg: RN st: NotStopd t0: [14:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 15/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 165 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20175 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [14:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 106 rs: Manual st: NotStopd
t0: [12:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [14:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20175 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [14:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 330 vu: ml
t0: [14:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20175 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:45:00 15/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [14:45:00 15/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [14:45:00 15/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [14:45:00 15/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [14:45:00 15/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [14:45:00 15/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [13:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [14:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20175 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 15/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: Cough Type el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [15:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [15:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 15/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [15:00:00 15/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [15:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [15:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [15:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [15:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [15:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 15/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [15:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [15:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 15/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 15/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [15:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [15:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [15:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [15:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 15/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [15:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 15/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 15/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [15:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [15:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [15:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [15:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [15:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [15:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 15/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 15/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [15:00:00 15/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [15:00:00 15/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 40 vu: ml t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [15:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [15:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 20 vu: ml t0: [15:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [15:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20115 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 15/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 130 ap: none
t0: [15:00:00 15/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [16:00:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 15/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [16:00:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 15/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [15:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [15:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [15:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [15:00:00 15/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [15:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [16:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [16:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [16:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [16:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [16:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [16:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 20055 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [14:23:00 15/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [14:23:00 15/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [16:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [17:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [17:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19995 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [17:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [17:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [17:00:00 15/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [17:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19995 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [17:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [17:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [17:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19995 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19935 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [18:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [18:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [18:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19935 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [18:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [18:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd
t0: [18:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [18:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19935 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [18:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [18:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19935 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [18:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [18:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19935 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 15/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 40 ap: none
t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [19:30:00 15/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [19:30:00 15/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:30:00 15/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [19:30:00 15/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [19:30:00 15/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:30:00 15/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [19:30:00 15/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [19:30:00 15/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [19:30:00 15/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [19:30:00 15/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:30:00 15/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:30:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [19:30:00 15/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [19:30:00 15/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [19:30:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19845 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [19:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19875 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [19:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 15/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 15/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 15/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 15/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 15/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 15/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 15/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 15/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [20:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 15/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 15/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [20:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 15/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 15/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 15/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 15/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 15/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 15/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [20:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 15/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 15/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 15/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 15/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 15/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [20:00:00 15/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 15/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 15/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 15/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 15/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 15/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 15/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 15/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 15/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 15/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 15/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [20:00:00 15/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 15/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 15/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 15/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [19:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [19:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19875 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [19:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [19:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [20:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [20:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [20:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [19:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19875 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [00:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [00:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 604 u1: ml/B st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19815 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [21:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19755 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [21:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [22:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19695 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [22:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 15/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 15/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 15/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 15/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 15/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 15/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 15/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19635 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [23:00:00 15/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 15/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 15/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 15/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 16/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Family Communication el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 16/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [00:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 16/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [00:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [00:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [00:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [00:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [00:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [00:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 16/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 16/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [01:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19515 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [01:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [21:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19755 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [21:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [21:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml t0: [22:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [22:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19695 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [22:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [22:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml t0: [23:00:00 15/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [23:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19635 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [23:00:00 15/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [23:00:00 15/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 15/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml t0: [00:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [00:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml t0: [01:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [01:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19515 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [01:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [21:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19755 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19695 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 15/09/2017] tf: [14:15:00 29/09/2017] dt: 19635 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 15/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19575 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19515 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 147 rs: Manual st: NotStopd t0: [21:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 153 rs: Manual st: NotStopd t0: [22:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 161 rs: Manual st: NotStopd t0: [23:00:00 15/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 182 rs: Manual st: NotStopd t0: [00:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 191 rs: Manual st: NotStopd t0: [01:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 197 rs: Manual st: NotStopd t0: [02:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19455 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [02:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 180 rs: Manual st: NotStopd t0: [03:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [03:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19395 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [03:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [00:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [01:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 450 vu: ml t0: [02:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [02:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19455 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [02:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [02:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [03:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [03:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19395 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [03:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [03:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19455 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19395 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [04:00:00 16/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 75 u1: units st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [04:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [04:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 16/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 75 u1: units st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.4 u1: L st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 15/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 15/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 15/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 15/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 15/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 15/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [23:00:00 15/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [23:00:00 15/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 15/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 15/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 15/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 15/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [23:00:00 15/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:00:00 15/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [01:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [01:00:00 16/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [01:00:00 16/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 16/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 16/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 16/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [04:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [04:00:00 16/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 16/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [04:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [04:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [04:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [04:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 16/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 16/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 166 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [05:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19275 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [05:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [04:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [04:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [05:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [05:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19275 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [05:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [04:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19335 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19275 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:33:00 16/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [05:33:00 16/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:33:00 16/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:33:00 16/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [05:33:00 16/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [05:33:00 16/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [05:33:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19242 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.15 rs: Final st: NotStopd
t0: [04:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [04:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [04:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 192 rs: Manual st: NotStopd t0: [05:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 197 rs: Manual st: NotStopd t0: [06:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [06:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19215 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [06:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [06:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [06:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19215 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [06:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [06:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [05:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19215 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19215 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [06:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [06:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [06:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [06:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [06:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [06:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [06:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [06:00:00 16/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:00:00 16/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [06:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19215 id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd
t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 23.0769 u1: ml/cmH st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [06:30:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [06:30:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:30:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [06:30:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [06:30:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:30:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:30:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [06:30:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [06:30:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [06:30:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:30:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [06:30:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [06:30:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [06:30:00 16/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [06:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19185 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [06:30:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [06:30:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [04:58:00 16/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.2 u1: % rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 450 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd
t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [07:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [07:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 16/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [07:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [07:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [07:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [07:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 16/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 16/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 16/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 16/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 16/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 16/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [08:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [08:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 16/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [07:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [07:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [08:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [08:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 420 vu: ml
t0: [07:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19155 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19095 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:58:00 16/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 192 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 192 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [04:58:00 16/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 16/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [09:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [09:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19035 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [09:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [09:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19035 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [09:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18975 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [10:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [10:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18975 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [10:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [09:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 19035 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18975 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 177 rs: Manual st: NotStopd
tf: [09:00:00 17/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [10:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [10:00:00 16/09/2017] tf: [14:00:00 16/09/2017] dt: 240 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml
t0: [10:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 41 rs: Manual st: NotStopd t0: [10:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 159 rs: Manual st: NotStopd
tf: [10:00:00 17/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: NS v2: 250 u2: ml
t0: [11:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [11:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [11:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [11:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [11:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [11:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [11:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [11:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [11:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [11:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [11:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18915 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 16/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 16/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 16/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 16/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: ICU Environment st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 16/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 16/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [12:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [12:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [12:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 105 rs: Manual st: NotStopd t0: [12:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [12:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [12:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [12:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [13:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [13:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18795 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [13:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [12:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18855 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml
t0: [13:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18795 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [13:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18735 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [14:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [14:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [14:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18735 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [14:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml t0: [14:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 39 vu: ml
t0: [13:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18795 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18735 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 17/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Dextrose 50% v1: 25 u1: gm
t0: [04:58:00 16/09/2017] id: Cyclosporin Drug Level el: 0 cu: MICU cg: 1663 v1: no data rs: Final st: NotStopd
t0: [11:18:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18897 id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd
id: D5/.45NS el: 2 cu: MICU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Push id: Promote w/fiber el: 1 cu: MICU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [15:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [15:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [15:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 16/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [15:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [15:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [15:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [15:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [15:00:00 16/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Plug st: NotStopd
t0: [13:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 35 rs: Manual st: NotStopd t0: [14:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 89 u1: % st: NotStopd t0: [14:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 61 rs: Manual st: NotStopd t0: [15:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Education Barrier el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [15:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 65 rs: Manual st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 16/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 16/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 16/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 16/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 16/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Education Learner el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 16/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Education Method el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Education Readiness el: 0 cu: MICU cg: RN v1: Patient/Family st: NotStopd t0: [16:00:00 16/09/2017] id: Education Method el: 0 cu: MICU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 16/09/2017] id: Education Readiness el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Education Response el: 0 cu: MICU cg: RN v1: Understands st: NotStopd t0: [16:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 16/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [16:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 16/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 16/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [16:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [16:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [16:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [16:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 16/09/2017] tf: [05:00:00 17/09/2017] dt: 900 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [15:00:00 16/09/2017] tf: [18:00:00 19/09/2017] dt: 4500 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [15:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml t0: [15:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [16:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 16/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 498 vo: 0 vu: ml t0: [16:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [16:00:00 16/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [16:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [16:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18615 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [16:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 165 rs: Manual st: NotStopd
t0: [16:00:00 16/09/2017] tf: [10:00:00 17/09/2017] dt: 1080 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml
t0: [16:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml
t0: [17:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [17:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18555 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [17:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd t0: [18:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 199 rs: Manual st: NotStopd
t0: [17:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [17:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [17:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [18:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [18:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18495 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 350 vu: ml t0: [18:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [17:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18555 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18495 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 350 ap: none
t0: [19:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 16/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18435 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [19:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [19:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [19:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [19:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml
t0: [19:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18435 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 183 rs: Manual st: NotStopd
t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 16/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 16/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 16/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 16/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 16/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 16/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 16/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 16/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 16/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 16/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 16/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Pain Management el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Pain Type el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 16/09/2017] id: Pain Type el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 16/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 16/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Diff to Palpate st: NotStopd t0: [20:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 16/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 16/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 16/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 16/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 16/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 16/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 16/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [20:00:00 16/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 16/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 16/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 16/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 16/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 16/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 16/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 16/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 16/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 16/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 16/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 16/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [20:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 16/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [21:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 172 rs: Manual st: NotStopd
t0: [21:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 498 vo: 0 vu: ml t0: [21:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [21:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [21:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 161 rs: Manual st: NotStopd
t0: [22:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18255 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [22:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [22:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [22:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml
t0: [22:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18255 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 16/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 16/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 16/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 16/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 16/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18195 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [23:00:00 16/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 16/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 16/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 16/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd
t0: [23:00:00 16/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 16/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [23:00:00 16/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [23:00:00 16/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 16/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 16/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18195 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 16/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 16/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 95.18 cv: 95.18 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 95.18 cv: 4568.32 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105.18 cv: 4788.32 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 10 cv: 100 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 10 cv: 2034 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 95.18 cv: 2404.32 ap: none t0: [23:00:00 16/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 10 cv: 2384 ap: none t0: [23:00:00 16/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 95.18 cv: 10033.6 ap: carryForward
t0: [00:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 120 rs: Manual st: NotStopd
t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Inc Cleansing #1 el: 0 cu: MICU cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Pink st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Green v2: Moderate st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 16/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 16/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 16/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 16/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 16/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 16/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 16/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 16/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:30:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18165 id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 17/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Open v2: Pink st: NotStopd t0: [00:00:00 17/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Green v2: Moderate st: NotStopd t0: [00:00:00 17/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 17/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 17/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18135 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [00:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [00:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 17/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18135 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:30:00 16/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [00:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vu: ml t0: [00:00:00 17/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 498 vo: 0 vu: ml t0: [00:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [00:00:00 17/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [00:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18135 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 60 vu: ml t0: [00:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18135 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 270 ap: none
t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [21:00:00 16/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [21:00:00 16/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 16/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 16/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 16/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 16/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [21:00:00 16/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [21:00:00 16/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [21:00:00 16/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:00:00 16/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [21:00:00 16/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 16/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 16/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:00:00 16/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 16/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:30:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [00:30:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:30:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:30:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:30:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:30:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:30:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [00:30:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 17/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:30:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:30:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18105 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [00:00:00 18/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [00:14:00 17/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [00:14:00 17/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [01:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 120 rs: Manual st: NotStopd
t0: [01:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18075 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [01:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml nb: 1 t0: [01:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [01:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [01:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18075 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18015 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [02:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [02:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [02:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18015 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 115 rs: Manual st: NotStopd
t0: [01:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Off st: NotStopd t0: [01:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Off st: NotStopd t0: [01:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17955 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [03:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [03:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [03:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [03:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [03:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17955 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:44:00 17/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [03:44:00 17/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:44:00 17/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:44:00 17/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [03:44:00 17/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [03:44:00 17/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [03:44:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17911 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.13 rs: Final st: NotStopd
t0: [03:58:00 17/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 391 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [04:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [04:00:00 17/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17895 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [04:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [04:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [04:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 290 vu: ml
t0: [04:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17895 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [04:30:00 17/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 10 u1: units st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:30:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [04:30:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [04:30:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:30:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:30:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [04:30:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.1 u1: L/min st: NotStopd t0: [04:30:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 10 u1: units st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:30:00 17/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:30:00 17/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.7 u1: L st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 618 u1: ml/B st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:30:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17865 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:58:00 17/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:58:00 17/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [05:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [05:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17835 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [05:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [05:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [05:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [05:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17835 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 112 rs: Manual st: NotStopd
t0: [05:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17835 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [05:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml st: Stopped t0: [05:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17835 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [05:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [06:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [06:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [06:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17775 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [06:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [06:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [06:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [06:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17775 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18675 id: Previous Weight el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [06:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17775 id: Previous Weight el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [06:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [06:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:30:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:30:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [06:30:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17745 id: NBP el: 0 cu: MICU cg: RN v1: 186 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [06:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17745 id: NBP Mean el: 0 cu: MICU cg: RN v1: 117.333 u1: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 186 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:30:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:30:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:30:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17745 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [06:30:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:30:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:30:00 17/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:30:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17745 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:30:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:14:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 18121 id: Vancomycin/Trough Drug Level el: 0 cu: MICU cg: 1663 v1: 15.8 rs: Final st: NotStopd
t0: [06:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [06:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [07:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17715 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [07:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [07:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [07:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 270 vu: ml
t0: [07:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17715 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [07:00:00 18/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Hydralazine HCl v1: 10 u1: mg
t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 17/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 17/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 17/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 17/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 17/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 17/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 17/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Erythema st: NotStopd t0: [08:00:00 17/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 17/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 17/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 17/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 17/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 17/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 17/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 17/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 17/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 17/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 70.9 u1: kg st: NotStopd t0: [08:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 17/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 17/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [08:00:00 17/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 17/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [08:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [08:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 290 vu: ml
t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: No Spon Resp st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [08:00:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 17/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml
t0: [08:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd
t0: [08:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [09:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92.6667 u1: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [09:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [09:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml t0: [10:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [10:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml
t0: [09:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17595 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17535 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [10:40:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [10:40:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:40:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [10:40:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:40:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [10:40:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [10:40:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [10:40:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [10:40:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [10:40:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:40:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:40:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:40:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:40:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [10:40:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [10:40:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17495 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [10:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 40 rs: Manual st: NotStopd t0: [11:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 164 rs: Manual st: NotStopd
t0: [11:00:00 17/09/2017] tf: [10:30:00 18/09/2017] dt: 1410 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml t0: [11:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [11:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [10:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17475 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [10:00:00 18/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [11:00:00 17/09/2017] tf: [00:00:00 18/09/2017] dt: 780 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml
t0: [08:00:00 17/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 17/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 6 cm st: NotStopd t0: [08:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17655 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 4 cm st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17475 id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 0-None st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17475 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Other st: NotStopd t0: [11:00:00 17/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [11:00:00 17/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 17/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 17/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 17/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 17/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 17/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Education Barrier el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 17/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Education Learner el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Education Method el: 0 cu: MICU cg: RN v1: Patient st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Education Readiness el: 0 cu: MICU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 17/09/2017] id: Education Readiness el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Education Response el: 0 cu: MICU cg: RN v1: Understands st: NotStopd t0: [12:00:00 17/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 17/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Erythema st: NotStopd t0: [12:00:00 17/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 17/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 17/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 17/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 6 cm st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 4 cm st: NotStopd t0: [12:00:00 17/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 17/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 17/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 17/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 17/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [12:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 17/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [12:00:00 17/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [12:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 17/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 17/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 210 rs: Manual st: NotStopd t0: [12:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 17/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 498 vo: 0 vu: ml t0: [12:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [12:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [12:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [12:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [12:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17415 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml
t0: [12:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [13:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 173 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 109.667 u1: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17355 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 168 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [13:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [13:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [13:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [13:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml t0: [14:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [14:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [14:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [14:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [14:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [14:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17295 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:58:00 17/09/2017] id: Cyclosporin Drug Level el: 0 cu: MICU cg: 1663 v1: no data rs: Final st: NotStopd
t0: [15:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 181 rs: Manual st: NotStopd
t0: [14:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd t0: [15:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 185 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 166 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [15:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [15:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [14:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17235 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [16:00:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 17/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 17/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 17/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 17/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 17/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 17/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Family Communication el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 17/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v2: Erythema st: NotStopd t0: [16:00:00 17/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 17/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 17/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 17/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 6 cm st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 4 cm st: NotStopd t0: [16:00:00 17/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 17/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 17/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 17/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 17/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [16:00:00 17/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [16:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 17/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [16:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [16:00:00 17/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [16:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [16:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [16:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [16:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17175 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 176 rs: Manual st: NotStopd
t0: [17:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [17:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [18:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [17:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [17:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [18:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 17/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Small t0: [18:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [17:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17115 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17055 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 100 ap: carryForward
t0: [18:29:00 17/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [18:29:00 17/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [18:29:00 17/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [18:29:00 17/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [18:29:00 17/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 154 u1: mmHg rs: Final st: NotStopd t0: [18:29:00 17/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [18:29:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17026 id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:29:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17026 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [18:29:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17026 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd
t0: [18:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 17055 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml
t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 17/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [20:00:00 17/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 17/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:00:00 17/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 17/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 17/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 17/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 17/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [20:00:00 17/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [20:00:00 17/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 17/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 17/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 17/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 17/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [20:00:00 17/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [20:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 171 rs: Manual st: NotStopd
t0: [19:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [19:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [20:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 37 vu: ml
t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 17/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 17/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 17/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 17/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 17/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 17/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 17/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 17/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 17/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 17/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 17/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 17/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 17/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [20:00:00 17/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 17/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 17/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 172 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:30:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:30:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:30:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:30:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:30:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:30:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:30:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:30:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 131 rs: Manual st: NotStopd
t0: [21:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 11.52 vu: ml t0: [21:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [21:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [21:30:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [21:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16875 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:30:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16845 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: Q8H:PRN m1: Hydralazine HCl v1: 10 u1: mg
t0: [20:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [22:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16815 id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16815 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 17/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [22:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 17/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 17/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 17/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 17/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [22:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 17/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16815 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [22:00:00 17/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 17/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 17/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 17/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [22:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 12.48 vu: ml t0: [22:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.75 vu: ml t0: [22:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [22:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16815 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 17/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 17/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 17/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 17/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 17/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 17/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 17/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 17/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 17/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [23:00:00 17/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 17/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [23:00:00 17/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [23:00:00 17/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 17/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 17/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16755 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 17/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 10 cv: 190 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 2812 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 2912 ap: carryForward
t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [00:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [00:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 504 u1: ml/B st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 17/09/2017] tf: [14:15:00 29/09/2017] dt: 16935 id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [00:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 18/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Open v2: Pink st: NotStopd t0: [00:00:00 18/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Green v2: Moderate st: NotStopd t0: [00:00:00 18/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 18/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [00:00:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [00:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [00:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 18/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 18/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [00:00:00 18/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [00:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [00:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [00:00:00 18/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml st: Stopped t0: [00:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16695 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 18/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 360 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 10 ap: none
t0: [01:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 128 rs: Manual st: NotStopd
t0: [01:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [01:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [01:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [01:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16635 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 18/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 18/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 18/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [02:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 119 rs: Manual st: NotStopd
t0: [02:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [02:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [02:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [02:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [02:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16575 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [03:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 18/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 17/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [03:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [03:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [03:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml
t0: [03:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16515 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 30.94 cv: 30.94 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 100.94 cv: 3828.47 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 110.94 cv: 4288.47 ap: none t0: [23:00:00 17/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 30.94 cv: 1376.47 ap: carryForward t0: [23:00:00 17/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 30.94 cv: 11410.1 ap: carryForward t0: [23:00:00 18/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 18/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 72.44 cv: 72.44 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 102.44 cv: 3656.36 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 102.44 cv: 4026.36 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 30 cv: 1921 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 72.44 cv: 2105.36 ap: none t0: [23:00:00 18/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 30 cv: 1921 ap: none t0: [23:00:00 18/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 72.44 cv: 13515.4 ap: carryForward
t0: [04:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 127 rs: Manual st: NotStopd
t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [04:00:00 18/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 44.0098 u1: units st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [04:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [04:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [04:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 44.0098 u1: units st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 18/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.409 u1: L st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 160 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [04:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [04:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [04:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 18/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [05:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16395 id: Eye Care el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 18/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 18/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage v2: Unchanged st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage v2: Unchanged st: NotStopd t0: [04:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 18/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 18/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16455 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 18/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [04:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 18/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [05:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16395 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Other/Remarks st: NotStopd t0: [05:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 18/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [05:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [05:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [05:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [05:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [05:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16395 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:20:00 18/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.9 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 16.9 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.1 u1: % rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 405 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.74 u1: /mic l rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.9 rs: Final st: NotStopd
t0: [05:20:00 18/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [05:20:00 18/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [06:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16335 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:30:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:30:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:30:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:30:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:30:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:30:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:30:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:30:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:30:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:30:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:30:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:30:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:30:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:30:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:30:00 18/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:30:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [05:30:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16365 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [05:30:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [05:30:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [06:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [06:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [06:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [05:30:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16365 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:30:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 98 rs: Manual st: NotStopd
t0: [06:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd
t0: [06:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [06:00:00 19/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [07:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 79 rs: Manual st: NotStopd
t0: [07:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [07:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [07:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [07:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [07:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 16 t0: [07:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.3 u1: Deg. C st: NotStopd t0: [07:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [07:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [07:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [07:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 506 u1: ml/B st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16275 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 73 rs: Manual st: NotStopd
t0: [08:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [08:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [08:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [08:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16215 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18495 id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [20:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18375 id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Previous Weight el: 0 cu: MICU cg: 1663 v1: 70.9 u1: kg st: NotStopd t0: [21:00:00 16/09/2017] tf: [14:15:00 29/09/2017] dt: 18315 id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [08:10:00 18/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:10:00 18/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [08:10:00 18/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [08:10:00 18/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [08:10:00 18/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [08:10:00 18/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:10:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16205 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.11 rs: Final st: NotStopd
t0: [08:00:00 18/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 18/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 18/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16215 id: Education Learner el: 0 cu: MICU cg: RN v1: Patient/Family st: NotStopd t0: [08:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16215 id: Education Response el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16215 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 18/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 18/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [08:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 18/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 18/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml t0: [09:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [09:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [09:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16155 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [10:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [10:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16095 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:30:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [10:30:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:30:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 37.5 vu: ml t0: [10:30:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [10:30:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml nb: 1 t0: [10:30:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [10:00:00 18/09/2017] tf: [16:00:00 19/09/2017] dt: 1800 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 18/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 18/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [11:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 16035 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 174 rs: Manual st: NotStopd t0: [11:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 185 rs: Manual st: NotStopd
t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 16 t0: [12:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [12:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [12:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 18/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 18/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 18/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Education Learner el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 18/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: Education Learner el: 0 cu: MICU cg: RN v1: Patient/Family st: NotStopd t0: [12:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 18/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 18/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 18/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 18/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive st: NotStopd t0: [12:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [12:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 18/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 18/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [12:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [12:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [12:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 153 rs: Manual st: NotStopd t0: [12:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [13:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 120 vu: ml t0: [12:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 112.5 vu: ml t0: [12:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 23.04 vu: ml t0: [12:00:00 18/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [12:00:00 18/09/2017] tf: [09:00:00 20/09/2017] dt: 2700 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [12:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 15 vu: ml t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 30 vu: ml t0: [12:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [13:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [13:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [13:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [11:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15975 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15915 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [14:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 15.36 vu: ml t0: [14:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [14:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15855 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:05:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:05:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:05:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:05:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:05:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:05:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:05:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:05:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:05:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:05:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:05:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:05:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:05:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:05:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:05:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:05:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:05:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:05:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15850 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:05:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 18/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive st: NotStopd t0: [14:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 148 rs: Manual st: NotStopd
t0: [15:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [15:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15795 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 18/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [16:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [16:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 11.84 vu: ml t0: [15:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [15:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [16:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 11.52 vu: ml t0: [16:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [16:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 16 t0: [16:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.3 u1: Deg. C st: NotStopd t0: [16:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [16:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 18/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [16:00:00 18/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 18/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 18/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 18/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Education Response el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15735 id: Family Communication el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 18/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 18/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 18/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 18/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 18/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 18/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive st: NotStopd t0: [16:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [16:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 18/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 18/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green st: NotStopd t0: [16:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 18/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 18/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 18/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 18/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 18/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:15:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:15:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:15:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:15:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:15:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:15:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:15:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:15:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:15:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:15:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:15:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:15:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:15:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:15:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:15:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 18/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml
t0: [16:15:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15720 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [17:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 12.96 vu: ml t0: [17:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [17:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [18:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [18:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [17:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15675 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15615 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15555 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Compliance (40-60ml) el: 0 cu: MICU cg: 2827 v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: ETT Mark/Location el: 0 cu: MICU cg: 2827 v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 18/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: 2827 v1: 12 t0: [20:00:00 18/09/2017] id: FiO2 Set el: 0 cu: MICU cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: Airway Size el: 0 cu: MICU cg: 2827 v1: 7.5 mm st: NotStopd t0: [20:00:00 18/09/2017] id: Airway Type el: 0 cu: MICU cg: 2827 v1: Endotracheal st: NotStopd t0: [20:00:00 18/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: 2827 v1: 35.2 u1: Deg. C st: NotStopd t0: [20:00:00 18/09/2017] id: Intubation Date el: 0 cu: MICU cg: 2827 v1: 8 v2: 18 st: NotStopd t0: [20:00:00 18/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: 2827 v1: 3 st: NotStopd t0: [20:00:00 18/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: 2827 v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: 2827 v1: 6.8 u1: L/min st: NotStopd t0: [20:00:00 18/09/2017] id: PEEP Set el: 0 cu: MICU cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: 2827 v1: 20 st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Peak Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Plateau Pressure el: 0 cu: MICU cg: 2827 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Resp Rate (Spont) el: 0 cu: MICU cg: 2827 v1: 1 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 11 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: 2827 v1: 98 u1: % st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Tidal Volume (Obser) el: 0 cu: MICU cg: 2827 v1: 503 u1: ml/B st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Tidal Volume (Set) el: 0 cu: MICU cg: 2827 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 18/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: 2827 v1: Assist Control st: NotStopd t0: [20:00:00 18/09/2017] id: Ventilator Type el: 0 cu: MICU cg: 2827 v1: Drager st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Waveform-Vent el: 0 cu: MICU cg: 2827 v1: RAMP st: NotStopd
t0: [20:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 18/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 18/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 18/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 18/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 18/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 18/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 18/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 18/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 18/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 18/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 18/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 18/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 18/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 18/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 18/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 18/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 18/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 18/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green st: NotStopd t0: [20:00:00 18/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 18/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 18/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 18/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 18/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [19:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [19:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [20:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [20:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [21:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [21:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15435 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Compliance (40-60ml) el: 0 cu: MICU cg: 2827 v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: ETT Mark/Location el: 0 cu: MICU cg: 2827 v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: 2827 v1: 12 t0: [00:00:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: I:E Ratio el: 0 cu: MICU cg: 2827 v1: 1:4.0 st: NotStopd t0: [00:00:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: 2827 v1: 7.5 mm st: NotStopd t0: [00:00:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: 2827 v1: Endotracheal st: NotStopd t0: [00:00:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: 2827 v1: 35.2 u1: Deg. C st: NotStopd t0: [00:00:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: 2827 v1: 8 v2: 18 st: NotStopd t0: [00:00:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: 2827 v1: 3 st: NotStopd t0: [00:00:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: 2827 v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: 2827 v1: 5 u1: L/min st: NotStopd t0: [00:00:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: 2827 v1: 20 st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Peak Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Plateau Pressure el: 0 cu: MICU cg: 2827 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Resp Rate (Spont) el: 0 cu: MICU cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: 2827 v1: 99 u1: % st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Tidal Volume (Obser) el: 0 cu: MICU cg: 2827 v1: 501 u1: ml/B st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Tidal Volume (Set) el: 0 cu: MICU cg: 2827 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: 2827 v1: Assist Control st: NotStopd t0: [00:00:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: 2827 v1: Drager st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Waveform-Vent el: 0 cu: MICU cg: 2827 v1: RAMP st: NotStopd
t0: [20:00:00 18/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15495 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 18/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 18/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 18/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 18/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 18/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 18/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 18/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 18/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 18/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 18/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 18/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 18/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [20:00:00 18/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 18/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 18/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 18/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 18/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 18/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 18/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 18/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 18/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 18/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 18/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 18/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 18/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 18/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 18/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 18/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 18/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 18/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 18/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 18/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 18/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 18/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 18/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [23:00:00 18/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 18/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [23:00:00 18/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 18/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 18/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 19/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 19/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 19/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 19/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Family Communication el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 19/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 19/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 19/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 19/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 19/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 19/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 19/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 19/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 19/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 19/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 19/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [00:00:00 19/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 19/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 19/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green st: NotStopd t0: [00:00:00 19/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 19/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 19/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 19/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 19/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [01:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 19/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 19/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [22:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 36 vu: ml t0: [23:00:00 18/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 18/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [23:00:00 18/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 18/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 18/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [00:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [00:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [01:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [01:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 48 vu: ml t0: [02:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [02:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [22:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15375 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 18/09/2017] tf: [14:15:00 29/09/2017] dt: 15315 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 18/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15255 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15195 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15135 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 34 cv: 34 ap: none t0: [23:00:00 19/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 72.68 cv: 72.68 ap: none t0: [23:00:00 19/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 96.68 cv: 3502.26 ap: none t0: [23:00:00 19/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 106.68 cv: 3562.26 ap: none t0: [23:00:00 19/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 34 cv: 2608 ap: none t0: [23:00:00 19/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 72.68 cv: 954.26 ap: none t0: [23:00:00 19/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 34 cv: 2608 ap: none t0: [23:00:00 19/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 72.68 cv: 14469.7 ap: carryForward
t0: [03:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 169 rs: Manual st: NotStopd
t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Compliance (40-60ml) el: 0 cu: MICU cg: 2827 v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: ETT Mark/Location el: 0 cu: MICU cg: 2827 v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: 2827 v1: 12 t0: [04:00:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: I:E Ratio el: 0 cu: MICU cg: 2827 v1: 1:4.0 st: NotStopd t0: [04:00:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: 2827 v1: 7.5 mm st: NotStopd t0: [04:00:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: 2827 v1: Endotracheal st: NotStopd t0: [04:00:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: 2827 v1: 35.4 u1: Deg. C st: NotStopd t0: [04:00:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: 2827 v1: 8 v2: 18 st: NotStopd t0: [04:00:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: 2827 v1: 3 st: NotStopd t0: [04:00:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: 2827 v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: 2827 v1: 6.22 u1: L/min st: NotStopd t0: [04:00:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: 2827 v1: 20 st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Peak Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Plateau Pressure el: 0 cu: MICU cg: 2827 v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Resp Rate (Spont) el: 0 cu: MICU cg: 2827 v1: 2 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: 2827 v1: 99 u1: % st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Tidal Volume (Obser) el: 0 cu: MICU cg: 2827 v1: 537 u1: ml/B st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Tidal Volume (Set) el: 0 cu: MICU cg: 2827 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: 2827 v1: Assist Control st: NotStopd t0: [04:00:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: 2827 v1: Drager st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Waveform-Vent el: 0 cu: MICU cg: 2827 v1: RAMP st: NotStopd
t0: [20:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 97 rs: Manual st: NotStopd t0: [22:00:00 18/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 92 rs: Manual st: NotStopd t0: [00:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 51 rs: Manual st: NotStopd t0: [03:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [03:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 19/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 19/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 19/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 19/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 19/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 19/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 19/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 19/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 19/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 19/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 19/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 19/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 19/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 19/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 19/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 19/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [04:00:00 19/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 19/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 19/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green st: NotStopd t0: [04:00:00 19/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 19/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [04:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [04:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 19/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 19/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 19/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 19/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [06:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [06:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [06:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [01:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [03:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [03:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [03:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [04:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 450 vu: ml t0: [04:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [04:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [04:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [05:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [05:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [05:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 44 vu: ml t0: [06:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [06:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 54 vu: ml
t0: [03:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15075 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 15015 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14955 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14895 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 208 rs: Manual st: NotStopd t0: [07:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [07:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [07:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [07:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [07:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14835 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:04:00 19/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:04:00 19/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [07:04:00 19/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [07:04:00 19/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [07:04:00 19/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [07:04:00 19/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:04:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14831 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.12 rs: Final st: NotStopd
t0: [08:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 19/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [08:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [08:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [08:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14775 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 224 rs: Manual st: NotStopd
t0: [08:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml
t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [08:05:00 19/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 75.7576 u1: units st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:05:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [08:05:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:05:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [08:05:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:05:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:05:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [08:05:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:05:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:05:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [08:05:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 75.7576 u1: units st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:05:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:05:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:05:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:05:00 19/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.33 u1: L st: NotStopd t0: [08:05:00 19/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:05:00 19/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:05:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14770 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:05:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:05:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:05:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Crackles st: NotStopd t0: [08:05:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Crackles st: NotStopd t0: [08:05:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Crackles st: NotStopd t0: [08:05:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Crackles st: NotStopd t0: [08:05:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [06:49:00 19/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.6 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.6 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.8 u1: % rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 390 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.64 u1: /mic l rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.6 rs: Final st: NotStopd
t0: [08:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14775 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Skin Breakdown st: NotStopd t0: [08:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14775 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 19/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 19/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 19/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 19/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 19/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 19/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 19/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 19/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14775 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 19/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 19/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 19/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 19/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 19/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14775 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 19/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [08:00:00 19/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 19/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 19/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green st: NotStopd t0: [08:00:00 19/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 19/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 19/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 19/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [09:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [09:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [09:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14715 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 152 rs: Manual st: NotStopd
t0: [06:49:00 19/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 244 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 244 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:49:00 19/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
tf: [09:00:00 20/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Fentanyl Citrate v1: 25-50 u1: mcg tf: [09:00:00 20/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Midazolam HCl v1: 1 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 5 u1: mg
t0: [09:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14715 id: Procedures el: 0 cu: MICU cg: RN v1: TEE st: NotStopd t0: [10:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [10:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [10:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 32 vu: ml
t0: [10:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14655 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [11:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [11:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [11:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [12:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 19/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [12:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [12:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [12:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 460 vu: ml
t0: [12:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14535 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:13:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [12:13:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:13:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [12:13:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:13:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:13:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [12:13:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:13:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [12:13:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [12:13:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:13:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:13:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:13:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:13:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14522 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:13:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:13:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [12:00:00 20/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Skin Breakdown st: NotStopd t0: [11:00:00 19/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [11:00:00 19/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Open v2: Pink st: NotStopd t0: [11:00:00 19/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Green v2: Moderate st: NotStopd t0: [11:00:00 19/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [11:00:00 19/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage v2: Unchanged st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage v2: Unchanged st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [11:00:00 19/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 6 cm v2: 6 cm st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 2 cm v2: 2 cm st: NotStopd t0: [11:00:00 19/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 19/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 19/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [11:00:00 19/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [11:00:00 19/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 19/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14595 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 19/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Flushed st: NotStopd t0: [11:00:00 19/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 19/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [11:00:00 19/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 19/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 19/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [13:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14475 id: Eye Care el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 19/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown st: NotStopd t0: [12:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 19/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [13:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [13:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [13:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [13:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14475 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 94 rs: Manual st: NotStopd
t0: [13:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [14:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [14:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [14:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [14:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 169 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [14:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14415 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [15:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 89 rs: Manual st: NotStopd t0: [16:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 76 rs: Manual st: NotStopd
t0: [15:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14355 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [16:00:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [16:00:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [16:00:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14295 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd
t0: [16:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [16:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 26.88 vu: ml t0: [16:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8.5 vu: ml t0: [16:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 420 vu: ml
t0: [16:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [17:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [17:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [17:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [17:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [17:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: No Response st: NotStopd t0: [17:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [17:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [17:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 13.44 vu: ml t0: [17:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [17:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14235 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 75 rs: Manual st: NotStopd
t0: [18:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [18:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [18:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 0 vu: ml t0: [18:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 11.52 vu: ml t0: [18:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 330 vu: ml
t0: [17:00:00 19/09/2017] tf: [09:00:00 20/09/2017] dt: 960 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14175 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 19/09/2017] tf: [16:00:00 21/09/2017] dt: 2760 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml nb: 1
t0: [18:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 76 rs: Manual st: NotStopd
t0: [19:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [19:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 19/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [19:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 0 vu: ml t0: [19:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 9.6 vu: ml t0: [19:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 19/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [19:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [19:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14115 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 134 rs: Manual st: NotStopd
t0: [20:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Cough Type el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 19/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 19/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Family Communication el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 19/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 19/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 19/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 19/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 19/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 19/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 19/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 19/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 19/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 19/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 19/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 19/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 19/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 19/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 19/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 19/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 19/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 19/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 19/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 19/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 19/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 19/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 19/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 19/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 19/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 19/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 19/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 19/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 19/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [20:00:00 19/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [20:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 19/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 19/09/2017] tf: [15:00:00 21/09/2017] dt: 2580 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [20:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 19/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [20:00:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.9 u1: Deg. C st: NotStopd t0: [20:00:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [20:00:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 496 u1: ml/B st: NotStopd t0: [20:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 14055 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 19/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 214 rs: Manual st: NotStopd
t0: [21:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 19/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 19/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 19/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 19/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 19/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 19/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 19/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 19/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 19/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [22:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 19/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 19/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 19/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 19/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [21:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 19/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [22:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [22:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 19/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 36 vu: ml
t0: [21:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13995 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13935 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [23:00:00 19/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [23:00:00 19/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 19/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [23:00:00 19/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [23:00:00 19/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 19/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [23:00:00 19/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [23:00:00 19/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [23:00:00 19/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.35 u1: L/min st: NotStopd t0: [23:00:00 19/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 19/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 505 u1: ml/B st: NotStopd t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 19/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [23:00:00 19/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 178 rs: Manual st: NotStopd
t0: [23:00:00 19/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 19/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 19/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 19/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 19/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 19/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 19/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13815 id: Cough Type el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [00:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [00:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 20/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 20/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13815 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13815 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 20/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [00:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [00:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13815 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 20/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [00:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 19/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 19/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [23:00:00 19/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 19/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 19/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 19/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 34 vu: ml t0: [00:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [00:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [00:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 44 vu: ml
t0: [23:00:00 19/09/2017] tf: [14:15:00 29/09/2017] dt: 13875 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 19/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13815 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 10 cv: 60 ap: none
tf: [23:00:00 20/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [01:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [01:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 20/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [03:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [03:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Cough Type el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 20/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 20/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 20/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 20/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 20/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [04:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [01:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [01:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [01:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [02:00:00 20/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 450 vu: ml t0: [02:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [02:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [02:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [03:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [03:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [03:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [04:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [04:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [04:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 34 vu: ml
t0: [01:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13755 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13695 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13635 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 20/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [04:00:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 20/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [04:00:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 20/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 20/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 20/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [04:00:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 20/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 20/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 536 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13575 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 112 rs: Manual st: NotStopd
t0: [05:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 20/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [06:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [05:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [05:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [05:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [06:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vo: 7.68 vu: ml t0: [06:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [06:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 10 vu: ml t0: [06:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [05:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13515 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13455 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 20/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 59.7826 u1: units st: NotStopd t0: [06:00:00 20/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 59.7826 u1: units st: NotStopd t0: [06:00:00 20/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:00:00 20/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.368 u1: L st: NotStopd
t0: [06:20:00 20/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 414 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd
t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Other st: NotStopd t0: [08:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 20/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 20/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 20/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 20/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Education Response el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [08:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 20/09/2017] id: Inc Cleansing #1 el: 0 cu: MICU cg: RN v1: Normal Saline st: NotStopd t0: [08:00:00 20/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Sanguinous st: NotStopd t0: [08:00:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [08:00:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [08:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 20/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 20/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 20/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [08:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [08:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [08:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 20/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [08:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [08:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [08:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:20:00 20/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:35:00 20/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [08:35:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:35:00 20/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:35:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:35:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:35:00 20/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [08:35:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:35:00 20/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:35:00 20/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [08:35:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:35:00 20/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:35:00 20/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:35:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [08:35:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13300 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:35:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [08:35:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:20:00 20/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [06:20:00 20/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd
t0: [08:45:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:45:00 20/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:45:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:45:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13290 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Green v2: Thick st: NotStopd t0: [08:45:00 20/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [08:45:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:45:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:43:00 20/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [08:43:00 20/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [08:43:00 20/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [08:43:00 20/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [08:43:00 20/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [08:43:00 20/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [08:43:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13292 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.03 rs: Final st: NotStopd
t0: [09:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 45 rs: Manual st: NotStopd
t0: [08:00:00 20/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [08:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13335 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 120 vu: ml t0: [09:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [09:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [09:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [10:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [10:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [10:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 20/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 20/09/2017] tf: [13:00:00 23/09/2017] dt: 4500 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vu: ml st: Stopped t0: [09:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml nb: 1 t0: [10:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [10:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [09:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13275 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13215 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 21/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [10:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 20/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [10:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 103 rs: Manual st: NotStopd t0: [11:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [11:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [11:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [10:00:00 20/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 20/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [10:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13215 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 60 vu: ml t0: [11:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [11:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [11:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13155 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 300 ap: none
tf: [10:00:00 21/09/2017] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Cough Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Range of Motion el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [12:00:00 20/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 20/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 20/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [12:00:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [12:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 20/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 20/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [12:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 115 rs: Manual st: NotStopd t0: [12:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 20/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [12:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [12:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13095 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [13:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [13:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [13:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 13035 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Meropenem v1: 1000 u1: mg m2: NS v2: 100 u2: ml
t0: [14:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [14:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12975 id: Procedures el: 0 cu: MICU cg: RN v1: Bronchoscopy st: NotStopd t0: [14:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd
t0: [14:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12975 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [14:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [14:00:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12975 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [14:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12975 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [14:00:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [14:32:00 20/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [14:32:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:32:00 20/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:32:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:32:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [14:32:00 20/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [14:32:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [14:32:00 20/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [14:32:00 20/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [14:32:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [14:32:00 20/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:32:00 20/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:32:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Green v2: Thick st: NotStopd t0: [14:32:00 20/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Other/Remarks v2: Copious st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [14:32:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12943 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [14:32:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [14:32:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [14:00:00 21/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [15:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [15:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [15:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [15:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [15:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12915 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [12:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [16:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 20/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml st: Stopped t0: [08:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [09:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [10:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [11:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [12:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [13:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [14:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [15:00:00 20/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 498 vu: ml t0: [16:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml
t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 20/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 20/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 20/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 20/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 20/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [16:00:00 20/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [16:00:00 20/09/2017] id: Pain Type el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 20/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 20/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12855 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd t0: [16:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
tf: [15:00:00 21/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Fentanyl Citrate v1: 50 u1: mcg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Chlorhexidine Gluconate v1: 15 u1: ml
t0: [11:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [13:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 20/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [16:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml
t0: [12:00:00 20/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [16:00:00 20/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [17:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [17:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [10:00:00 20/09/2017] tf: [18:00:00 21/09/2017] dt: 1920 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [10:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12795 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:30:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [17:40:00 20/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [17:40:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:40:00 20/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [17:40:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:40:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:40:00 20/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [17:40:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [17:40:00 20/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [17:40:00 20/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [17:40:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [17:40:00 20/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:40:00 20/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:40:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:40:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12755 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:40:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:40:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [15:35:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [18:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [18:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12735 id: Readmit <48 hrs el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [18:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12735 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [18:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml
t0: [18:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [19:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [19:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12735 id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [19:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [19:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [19:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12675 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 120 ap: none
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: BID fs: 08, 20 dn: 2 m1: Neutra-Phos v1: 1 u1: PKT
t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 20/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [20:00:00 20/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 20/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 20/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 20/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 20/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 20/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 20/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 20/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [20:00:00 20/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 20/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 483 u1: ml/B st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 20/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 20/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [20:00:00 20/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 20/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 20/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 20/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 20/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 20/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 20/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 20/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 20/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 20/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 20/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 20/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 20/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 20/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 20/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 20/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 20/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 20/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 20/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 20/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 20/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 20/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 20/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 20/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 20/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 20/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 20/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 20/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 20/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 20/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 20/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 20/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 20/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [20:00:00 20/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [20:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 20/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 20/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 20/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [21:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [20:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [21:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [21:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [20:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12615 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12555 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 2238 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 2358 ap: none
t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [00:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [00:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 81 rs: Manual st: NotStopd
t0: [20:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd t0: [22:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [22:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [22:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 93 rs: Manual st: NotStopd t0: [23:00:00 20/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [23:00:00 20/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 20/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 20/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 20/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 20/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 20/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 20/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 20/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 20/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 20/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 20/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 20/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 20/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 20/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 20/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 20/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 20/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 20/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 20/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 20/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 20/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [23:00:00 20/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 20/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 20/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [00:00:00 21/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 21/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 21/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 21/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 21/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [01:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [01:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [02:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [02:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 21/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [02:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [23:00:00 20/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 20/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 20/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [00:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [01:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [02:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml
t0: [22:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12495 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 20/09/2017] tf: [14:15:00 29/09/2017] dt: 12435 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12375 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12315 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12255 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 27 cv: 27 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 87 cv: 3507.76 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 107 cv: 4197.76 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 20 cv: 390 ap: none t0: [23:00:00 20/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 27 cv: 1839.76 ap: none t0: [23:00:00 20/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 27 cv: 16309.4 ap: carryForward t0: [23:00:00 21/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 19 cv: 19 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 89 cv: 2995.1 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 89 cv: 3675.1 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 550 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 19 cv: -1059.9 ap: none t0: [23:00:00 21/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 19 cv: 15249.5 ap: carryForward
t0: [02:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 72 rs: Manual st: NotStopd
t0: [03:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [03:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [04:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 21/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 21/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 21/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 21/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [04:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 84 rs: Manual st: NotStopd t0: [04:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [19:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [23:00:00 20/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 20/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [00:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [00:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [01:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [01:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [02:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [03:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [03:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [03:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [04:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [04:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [19:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 20/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12195 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 21/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 71.066 u1: units st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [04:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [04:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 71.066 u1: units st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 21/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.197 u1: L st: NotStopd t0: [04:00:00 21/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 419 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12135 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 101 rs: Manual st: NotStopd
t0: [05:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [05:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [05:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 21/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [05:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12075 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: CCU st: NotStopd t0: [06:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [05:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [06:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [06:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 20 vu: ml t0: [06:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [05:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 12015 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:50:00 21/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [06:50:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11965 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [06:50:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:50:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:50:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [06:50:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [06:50:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [06:50:00 21/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:50:00 21/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [06:50:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [06:50:00 21/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 406 u1: ml/B st: NotStopd t0: [06:50:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [06:50:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [06:50:00 21/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [06:50:00 21/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [06:50:00 21/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 21/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 21/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [06:50:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11965 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.12 rs: Final st: NotStopd
t0: [07:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [06:31:00 21/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd
t0: [06:31:00 21/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.6 u1: % rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 327 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 rs: Final st: NotStopd
t0: [06:31:00 21/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:31:00 21/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [07:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [07:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 21/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 21/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [08:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [08:00:00 21/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 173 rs: Manual st: NotStopd
t0: [08:00:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [08:00:00 21/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 100 vu: ml t0: [08:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [08:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [07:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [08:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [08:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6 u1: L/min st: NotStopd t0: [08:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 509 u1: ml/B st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:34:00 21/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [08:34:00 21/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [08:34:00 21/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [08:34:00 21/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [08:34:00 21/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [08:34:00 21/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [08:34:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11861 id: CaO2 el: 0 cu: MICU cg: 1663 v1: 14.3106 u1: ml/dl st: NotStopd t0: [08:34:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11861 id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [09:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 160 rs: Manual st: NotStopd
t0: [08:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 80 vu: ml t0: [09:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [09:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml t0: [09:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [09:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 21/09/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 498 vo: 0 st: D/C'd
t0: [10:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 152 rs: Manual st: NotStopd
t0: [07:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11955 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11835 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 21/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 21/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Barrier el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Handout el: 0 cu: MICU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Learner el: 0 cu: MICU cg: RN v1: Patient st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Method el: 0 cu: MICU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Readiness el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Response el: 0 cu: MICU cg: RN v1: Understands st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Education Topic #2 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 21/09/2017] id: Education Topic #2 el: 0 cu: MICU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 21/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [09:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11835 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 21/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 21/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 21/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [09:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [09:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: Hoyer st: NotStopd t0: [10:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11775 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Plug st: NotStopd t0: [09:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 21/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11775 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 21/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 21/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11775 id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [10:00:00 21/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [10:00:00 21/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [10:00:00 21/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [10:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.3 vu: ml t0: [10:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml
t0: [11:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11715 id: Sputum Color/Consist el: 0 cu: MICU cg: RT v1: Tan v2: Thick st: NotStopd t0: [11:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RT v1: Suctioned v2: Moderate st: NotStopd
t0: [11:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [11:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [11:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml t0: [11:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [11:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [12:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.25 u1: L/min st: NotStopd t0: [12:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 21/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11895 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 21/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 21/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 21/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 21/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 21/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 21/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [12:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 21/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 21/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 21/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Daily Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [12:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:30:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [12:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [12:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml t0: [12:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [12:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 21/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 21/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd
t0: [13:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11595 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [13:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [14:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11535 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [14:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [13:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml t0: [14:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [14:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml
t0: [13:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 96 rs: Manual st: NotStopd
t0: [14:00:00 21/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11535 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 21/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 21/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 21/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [14:00:00 21/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [14:00:00 21/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [14:00:00 21/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [14:00:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [14:15:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [14:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11535 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
tf: [14:00:00 22/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [14:00:00 22/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [15:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11475 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [15:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 21/09/2017] id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 0 vu: ml t0: [15:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [15:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 40 vu: ml t0: [15:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1000 vu: ml
t0: [15:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11475 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [15:30:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Previous Weight el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [12:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11655 id: Weight Change el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [12:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [12:41:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11614 id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 18.1 rs: Final st: NotStopd t0: [14:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11535 id: Previous Weight el: 0 cu: MICU cg: 1663 v1: 78.1 u1: kg st: NotStopd
t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [16:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [16:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [16:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 21/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 21/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 21/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 21/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [16:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 21/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 21/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 21/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 82 rs: Manual st: NotStopd t0: [16:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 21/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [16:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.6 vu: ml t0: [16:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 21/09/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml st: Stopped t0: [16:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 700 vu: ml
t0: [16:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 130 ap: none
t0: [16:00:00 21/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 21/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron v1: 4 u1: mg
t0: [18:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 70 rs: Manual st: NotStopd
t0: [16:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11415 id: Cough Type el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 21/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [17:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [17:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [17:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11355 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [17:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [17:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [17:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [17:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 21/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 21/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [18:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [18:00:00 21/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Brown v2: Small st: NotStopd t0: [18:00:00 21/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [18:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: Incisional st: NotStopd t0: [18:00:00 21/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 21/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [18:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 21/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [18:00:00 21/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [18:00:00 21/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [18:00:00 21/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [18:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 21/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [18:00:00 21/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [18:00:00 21/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 21/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 21/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [18:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 21/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [18:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [18:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [18:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.2 vu: ml t0: [18:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11295 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 450 vu: ml t0: [18:00:00 21/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 700 vu: ml t0: [18:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 525 vu: ml
t0: [17:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 21/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 450 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 700 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 70 cv: 3585 ap: none t0: [23:00:00 21/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 70 cv: 4735 ap: none
t0: [18:15:00 21/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml
t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [21:00:00 21/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [21:00:00 21/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 21/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 21/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 21/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 21/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [21:00:00 21/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [21:00:00 21/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [21:00:00 21/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [21:00:00 21/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 21/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 474 u1: ml/B st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 21/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 21/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 235 rs: Manual st: NotStopd
t0: [23:00:00 22/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 116.5 cv: 16025.5 ap: carryForward
t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [00:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [00:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [00:00:00 22/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 491 u1: ml/B st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [00:00:00 23/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [04:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [04:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 493 u1: ml/B st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [19:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11235 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [19:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Cough Type el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 21/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 21/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 21/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 21/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [20:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 21/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 21/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [20:00:00 21/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Brown v2: Small st: NotStopd t0: [20:00:00 21/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 21/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 21/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 21/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Position Change el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 21/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 21/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 21/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11175 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [20:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 21/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 21/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [20:00:00 21/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 21/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 21/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 21/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 21/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 21/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 21/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 21/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 21/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 21/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 21/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 21/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 184 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 128 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [21:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd t0: [22:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11055 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [22:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11055 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [22:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 21/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 21/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 21/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 21/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 21/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 21/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 21/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 21/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 21/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 21/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 10995 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [23:00:00 21/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 21/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 10995 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [23:00:00 21/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 21/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [23:00:00 21/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [23:00:00 21/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 21/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 21/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 21/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 169 rs: Manual st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 22/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 22/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 22/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [00:00:00 22/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Brown v2: Small st: NotStopd t0: [00:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 22/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 22/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 22/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 22/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [00:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [00:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 22/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 22/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 22/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 22/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [01:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [01:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10875 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [01:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10875 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [01:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 199 rs: Manual st: NotStopd t0: [02:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [02:00:00 22/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [02:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10815 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [02:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10815 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [02:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [02:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [02:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 181 rs: Manual st: NotStopd t0: [03:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [03:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [03:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [03:00:00 22/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10755 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [03:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10755 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [03:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [03:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [03:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 136 rs: Manual st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [04:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 22/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 22/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 22/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 22/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [04:00:00 22/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Brown v2: Small st: NotStopd t0: [04:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [04:00:00 22/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [04:00:00 22/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 22/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Previous Weight el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [04:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [04:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2017] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 22/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 22/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 22/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 22/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [04:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd t0: [04:00:00 22/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [19:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml t0: [20:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [21:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11115 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 225 vu: ml t0: [21:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [21:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 30 vu: ml t0: [21:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml t0: [22:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 11055 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [22:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [23:00:00 21/09/2017] tf: [14:15:00 29/09/2017] dt: 10995 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 21/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 21/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 21/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [00:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 22/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 498 vo: 0 vu: ml t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 22/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [00:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10935 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [00:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [01:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10875 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [01:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10875 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [01:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [02:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10815 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [02:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10815 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [02:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml t0: [03:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10755 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [03:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10755 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [03:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [04:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10695 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [04:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 390 vu: ml
t0: [21:00:00 21/09/2017] tf: [12:00:00 23/09/2017] dt: 2340 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 21/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [05:00:00 22/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10635 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [05:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [05:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10575 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [06:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10635 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [05:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10635 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [05:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 640 vu: ml t0: [06:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10575 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [06:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10575 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [06:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 510 vu: ml
t0: [05:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10515 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [07:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10515 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [07:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10515 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [07:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 540 vu: ml
t0: [07:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:56:00 22/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [06:56:00 22/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:56:00 22/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [06:56:00 22/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [06:56:00 22/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 176 u1: mmHg rs: Final st: NotStopd t0: [06:56:00 22/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [06:56:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10519 id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 99 u1: % rs: Final st: NotStopd
t0: [06:20:00 22/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.3 u1: % rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 355 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.67 u1: /mic l rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [06:56:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10519 id: CaO2 el: 0 cu: MICU cg: 1663 v1: 15.1382 u1: ml/dl st: NotStopd
t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [08:00:00 22/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 36 u1: units st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [08:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.14 u1: L/min st: NotStopd t0: [08:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 36 u1: units st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.5 u1: L st: NotStopd t0: [08:00:00 22/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:00:00 22/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:20:00 22/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 336 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 336 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:20:00 22/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [08:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [08:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [08:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [08:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [08:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [08:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:20:00 22/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd
t0: [09:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 45 rs: Manual st: NotStopd t0: [10:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 215 rs: Manual st: NotStopd
t0: [09:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10395 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [09:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10335 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [10:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10395 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [09:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10395 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [10:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10335 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [10:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10335 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml
t0: [09:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 22/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 22/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [08:00:00 22/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 60 vu: ml t0: [09:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [10:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 22/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Cough Type el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 22/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 22/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 22/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Education Learner el: 0 cu: MICU cg: RN v1: Patient st: NotStopd t0: [08:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Education Response el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 22/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 22/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v2: Pink st: NotStopd t0: [08:00:00 22/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2017] id: Pain Location el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 22/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Position Change el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 22/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10455 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 22/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 22/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 22/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 22/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 172 rs: Manual st: NotStopd
t0: [11:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10275 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [11:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10275 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 30 vu: ml t0: [11:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
tf: [10:00:00 23/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [12:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.87 u1: L/min st: NotStopd t0: [12:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 149 rs: Manual st: NotStopd
tf: [12:00:00 23/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Potassium Phosphate v1: 30 u1: mmol m2: NS v2: 500 u2: ml
t0: [12:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [13:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [13:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [13:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [13:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [13:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [13:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [13:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [13:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 160 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [13:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10155 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [13:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [13:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [13:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10155 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [13:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [13:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [13:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10155 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 100 vu: ml t0: [13:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [13:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 96 rs: Manual st: NotStopd
t0: [11:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10275 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [11:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [11:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 22/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [12:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [14:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [14:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [14:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [14:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [11:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Range of Motion el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 22/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Education Learner el: 0 cu: MICU cg: RN v1: Patient st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 22/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v2: Pink st: NotStopd t0: [12:00:00 22/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [12:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 22/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 22/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 22/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [12:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10215 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10155 id: Cough Type el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [13:00:00 22/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [13:00:00 22/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [13:00:00 22/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [13:00:00 22/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [13:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [13:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 22/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [13:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [13:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 22/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [13:00:00 22/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [13:00:00 22/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Green v2: Liquid st: NotStopd t0: [13:00:00 22/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [13:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 22/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [14:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [14:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [14:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [14:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [14:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [14:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [14:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [14:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [14:00:00 22/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [14:00:00 22/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [14:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [14:00:00 22/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [14:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [14:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10095 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [15:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10035 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [15:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10035 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3.5 vu: ml t0: [15:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 10035 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [15:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [15:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9975 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [16:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 22/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 22/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [16:00:00 22/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [16:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9975 id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/09/2017] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 22/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 22/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [16:00:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [16:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 22/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [16:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [16:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9975 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3.5 vu: ml t0: [16:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9975 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [16:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [16:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 12 t0: [16:00:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [16:00:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [16:00:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [16:00:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [16:00:00 22/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:00:00 22/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:00:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 22/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 445 u1: ml/B st: NotStopd t0: [16:00:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [17:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [17:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9915 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [17:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9915 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9915 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [17:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [17:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9975 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v2: Pink st: NotStopd t0: [16:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 22/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 22/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 22/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [08:00:00 22/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 22/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd
t0: [14:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml
t0: [18:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9855 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [18:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd
t0: [18:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:57:00 22/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [17:57:00 22/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:57:00 22/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 40 rs: Final st: NotStopd t0: [17:57:00 22/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [17:57:00 22/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [17:57:00 22/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [17:57:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9858 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.06 rs: Final st: NotStopd
t0: [19:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [19:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9795 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [19:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [18:00:00 22/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [18:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9855 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9855 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [18:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [19:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9795 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9795 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [19:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [19:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9765 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [19:30:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [19:30:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [19:30:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 35 u1: cmH2O st: NotStopd t0: [19:30:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 35 u1: BPM st: NotStopd t0: [19:30:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [19:30:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [19:30:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.8 u1: Deg. C st: NotStopd t0: [19:30:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [19:30:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 3 st: NotStopd t0: [19:30:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 6 u1: cmH2O st: NotStopd t0: [19:30:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 4.5 u1: L/min st: NotStopd t0: [19:30:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [19:30:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 30 st: NotStopd t0: [19:30:00 22/09/2017] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 8 u1: . st: NotStopd t0: [19:30:00 22/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 8 u1: BPM st: NotStopd t0: [19:30:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [19:30:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 99 u1: % st: NotStopd t0: [19:30:00 22/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 444 u1: ml/B st: NotStopd t0: [19:30:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [19:30:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [19:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9765 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [18:00:00 22/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [23:00:00 22/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [20:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 22/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 22/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [20:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 22/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 22/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: None v2: Intact st: NotStopd t0: [20:00:00 22/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 22/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 22/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 22/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 22/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 22/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 22/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 22/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 22/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9735 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [20:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 22/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 22/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 22/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 22/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9735 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 22/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 22/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 22/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 22/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 22/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9735 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9735 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [20:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [20:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 22/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 22/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd
t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [20:30:00 22/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [20:30:00 22/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 22/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [20:30:00 22/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:30:00 22/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:30:00 22/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.9 u1: Deg. C st: NotStopd t0: [20:30:00 22/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [20:30:00 22/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [20:30:00 22/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 7.1 u1: L/min st: NotStopd t0: [20:30:00 22/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 14 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 2 u1: BPM st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [20:30:00 22/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:30:00 22/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 451 u1: ml/B st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 22/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:30:00 22/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:30:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9705 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 22/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 22/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9675 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [21:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9675 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 22/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9675 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9675 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [21:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 89 rs: Manual st: NotStopd
t0: [21:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 22/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 22/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 22/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9615 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [22:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 22/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9615 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [22:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9615 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [22:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 86 rs: Manual st: NotStopd
t0: [22:00:00 22/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 22/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 22/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [22:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9615 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 22/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [22:00:00 22/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [22:00:00 22/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 22/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [22:00:00 22/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 22/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 22/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 22/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 22/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [23:00:00 22/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 22/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 22/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9555 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [23:00:00 22/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 22/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 22/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 22/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [22:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [23:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9555 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 22/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [23:00:00 22/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9555 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [23:00:00 22/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 22/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 86.5 cv: 3776 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 960 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 4110 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 4230 ap: none
t0: [23:00:00 22/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 84 rs: Manual st: NotStopd
t0: [20:00:00 22/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [23:00:00 22/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml
t0: [23:00:00 22/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 116.5 cv: 116.5 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 196.5 cv: 5006 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN pv: 60 cv: 270 ap: none t0: [23:00:00 22/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 116.5 cv: 776 ap: none
t0: [23:42:00 22/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [23:42:00 22/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [23:42:00 22/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [23:42:00 22/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [23:42:00 22/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [23:42:00 22/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [23:42:00 22/09/2017] tf: [14:15:00 29/09/2017] dt: 9513 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.08 rs: Final st: NotStopd
t0: [00:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [00:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [00:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [00:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [00:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [00:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.4 u1: Deg. C st: NotStopd t0: [00:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [00:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 6 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.8 u1: L/min st: NotStopd t0: [00:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 6 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9495 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [01:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 124 rs: Manual st: NotStopd
t0: [01:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [01:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9435 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [01:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9435 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [01:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9435 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [20:00:00 22/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [23:00:00 22/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 22/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 22/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [23:00:00 22/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 22/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 22/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 22/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 22/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 22/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 22/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 22/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 23/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 23/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9435 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [01:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [01:00:00 23/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonprod/Congest st: NotStopd t0: [01:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 23/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [01:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [01:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [01:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [01:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [01:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [01:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [01:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [01:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [01:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [01:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [01:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [01:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9435 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [01:00:00 23/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 23/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 23/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [01:00:00 23/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [01:00:00 23/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [01:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [02:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [02:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [02:00:00 23/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [02:00:00 23/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [02:00:00 23/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [02:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [02:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9375 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [02:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 23/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [02:00:00 23/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 23/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [02:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 23/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [02:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 23/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [02:00:00 23/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml t0: [02:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9375 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [02:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9375 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [02:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [02:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 23/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 69 cv: 69 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 89 cv: 3545 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 129 cv: 4545 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 40 cv: 940 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 60 cv: 3900 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 69 cv: 445 ap: none t0: [23:00:00 23/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 60 cv: 4100 ap: none t0: [23:00:00 23/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 69 cv: 16470.5 ap: carryForward
t0: [00:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 23/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [02:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [02:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd
t0: [03:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9315 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [03:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9315 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [20:00:00 22/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 22/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 23/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9315 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [03:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:51:00 23/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [03:51:00 23/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [03:51:00 23/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [03:51:00 23/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 23/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 23/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 23/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [04:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 23/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonprod/Congest st: NotStopd t0: [04:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 23/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 23/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 23/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 23/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 23/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 23/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 23/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [04:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [04:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 227 rs: Manual st: NotStopd
t0: [04:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:27:00 23/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.8 u1: % rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 344 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.45 u1: /mic l rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: No Spon Resp st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [04:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [04:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [04:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5 u1: L/min st: NotStopd t0: [04:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 493 u1: ml/B st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9255 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [03:27:00 23/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 210 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 210 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:27:00 23/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9195 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [05:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml t0: [04:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml t0: [05:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9195 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [05:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9195 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [05:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [05:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9135 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [06:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9135 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml t0: [06:00:00 23/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 23/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 200 ap: none
t0: [04:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9135 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [06:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 188 rs: Manual st: NotStopd
t0: [06:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 23/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 23/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 23/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [07:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [07:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9075 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [07:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9075 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [07:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9075 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 106 vo: 50 vu: ml
t0: [07:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 54.6624 u1: units st: NotStopd t0: [08:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9015 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [08:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [08:00:00 23/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 23/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 54.6624 u1: units st: NotStopd t0: [08:00:00 23/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 23/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.311 u1: L st: NotStopd t0: [08:00:00 23/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 311 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9015 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 23/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonprod/Congest st: NotStopd t0: [08:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 23/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9015 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [08:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 23/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 23/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 23/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 23/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 128 rs: Manual st: NotStopd t0: [08:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9015 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 23/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [08:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [08:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [08:00:00 24/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [08:00:00 24/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [03:27:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 9288 id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 24.6 rs: Final st: NotStopd
t0: [10:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8895 id: Neg Insp Force(>-25) el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [10:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8895 id: Vital Cap (>1.0)L el: 0 cu: MICU cg: RRT v1: 0.8 u1: liters st: NotStopd
tf: [09:00:00 24/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [09:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8955 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [09:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8895 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [10:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd
t0: [10:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8895 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [10:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [09:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8835 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 78.1 u1: kg st: NotStopd t0: [11:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8835 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [11:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 320 vu: ml
t0: [11:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 63 rs: Manual st: NotStopd
io: Respalor Tube Feeding el: 1 cu: MICU cg: RN ra: 30 ru: ml/hr
id: Respalor el: 1 cu: MICU cg: RN io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [08:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [12:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.88 u1: L/min st: NotStopd t0: [12:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 23/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 23/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 23/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [12:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 23/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 23/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Dull st: NotStopd t0: [12:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Apneic st: NotStopd t0: [12:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 23/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 23/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 23/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 23/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 23/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 23/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/09/2017] tf: [07:00:00 25/09/2017] dt: 2820 id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [09:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [10:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [11:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 35 vu: ml
t0: [12:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [12:00:00 23/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8775 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 23/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [13:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8715 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0 vu: ml t0: [13:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [13:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [12:00:00 23/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 23/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd
t0: [14:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8655 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 23/09/2017] tf: [10:00:00 27/09/2017] dt: 5520 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [14:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [15:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 213 rs: Manual st: NotStopd
t0: [12:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [15:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [15:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8595 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [15:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [15:00:00 23/09/2017] tf: [20:00:00 23/09/2017] dt: 300 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [16:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.16 u1: L/min st: NotStopd t0: [16:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 477 u1: ml/B st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 23/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 23/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 23/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 23/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 23/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 23/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 23/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 23/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 238 rs: Manual st: NotStopd t0: [16:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8535 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 23/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [16:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [16:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [16:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 60 ap: none
t0: [17:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [17:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 203 rs: Manual st: NotStopd
t0: [17:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8475 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [17:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [17:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [18:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 153 rs: Manual st: NotStopd
t0: [18:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: CoWkr v1: MICU st: NotStopd t0: [18:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: CoWkr v1: 4 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: CoWkr v1: Full Code st: NotStopd t0: [18:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: CoWkr v1: Yes st: NotStopd t0: [18:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: CoWkr v1: Yes st: NotStopd t0: [18:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: CoWkr v1: 79 u1: BPM st: NotStopd t0: [18:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: CoWkr v1: 101 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: CoWkr v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: CoWkr v1: Contact st: NotStopd t0: [18:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: CoWkr v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: CoWkr v1: 17 u1: BPM st: NotStopd t0: [18:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: CoWkr v1: 97 u1: % st: NotStopd t0: [18:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: CoWkr v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: CoWkr so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: CoWkr v1: None st: NotStopd t0: [18:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: CoWkr v1: None st: NotStopd t0: [18:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: CoWkr v1: Normal Sinus st: NotStopd
t0: [18:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: CoWkr vo: 180 vu: ml
t0: [18:00:00 23/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8415 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml
t0: [19:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 23/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [20:00:00 23/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 23/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [20:00:00 23/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 23/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 23/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.9 u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 23/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 3 st: NotStopd t0: [20:00:00 23/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 7.5 u1: L/min st: NotStopd t0: [20:00:00 23/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 98 u1: % st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 446 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 23/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [19:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 23/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 23/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 23/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 23/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 23/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 23/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 23/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 23/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 23/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 23/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 23/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 23/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 23/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 23/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 23/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 23/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 23/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 23/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [19:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8355 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [19:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [20:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8295 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [20:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [20:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 75 rs: Manual st: NotStopd
t0: [21:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 75 rs: Manual st: NotStopd
t0: [21:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8235 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [19:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 35 vu: ml t0: [20:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 35 vu: ml t0: [21:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 35 vu: ml t0: [21:30:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [20:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [21:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [22:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [22:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8175 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 20 vu: ml
t0: [20:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [20:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 23/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 23/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 23/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 23/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 23/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 23/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 23/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [22:00:00 23/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 23/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 23/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 23/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 23/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [22:00:00 23/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [22:00:00 23/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 23/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 23/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [22:00:00 23/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 23/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 23/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [22:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 90 rs: Manual st: NotStopd
t0: [23:00:00 23/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 110 rs: Manual st: NotStopd
t0: [23:00:00 23/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 23/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 23/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 23/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 23/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 23/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 23/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 23/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 23/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [23:00:00 23/09/2017] tf: [14:15:00 29/09/2017] dt: 8115 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 23/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 23/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 23/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [23:00:00 23/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [21:00:00 23/09/2017] tf: [08:00:00 24/09/2017] dt: 660 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [21:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 23/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 23/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 23/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 23/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 23/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 23/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 23/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 23/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 23/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 23/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 24/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 24/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 24/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 24/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 24/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 24/09/2017] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [00:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [00:00:00 24/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 24/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 24/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 24/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 171 rs: Manual st: NotStopd
t0: [20:00:00 23/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 23/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 24/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [00:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [00:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [00:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.7 u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [00:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5.1 u1: L/min st: NotStopd t0: [00:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [01:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [01:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7995 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [01:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [01:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [01:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:30:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [01:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 136 rs: Manual st: NotStopd
t0: [02:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7935 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 24/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 24/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 24/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 8055 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 24/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [01:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [01:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 24/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [01:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [01:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 24/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7935 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [02:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [02:45:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:45:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:45:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:45:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:45:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:45:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:45:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:45:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:45:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:45:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:45:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:45:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [02:45:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:45:00 24/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [02:45:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:45:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:45:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml
t0: [02:45:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [03:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7875 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [03:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [23:00:00 24/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 24/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 27 cv: 27 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 22 cv: 3033.5 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 67 cv: 4208.5 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 45 cv: 995 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 40 cv: 2790 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 27 cv: 993.5 ap: none t0: [23:00:00 24/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 40 cv: 3215 ap: none t0: [23:00:00 24/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 27 cv: 17464 ap: carryForward
t0: [03:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 95 rs: Manual st: NotStopd
t0: [02:54:00 24/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [02:54:00 24/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [02:54:00 24/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 39 rs: Final st: NotStopd t0: [02:54:00 24/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [02:54:00 24/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [02:54:00 24/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [02:54:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7881 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.14 rs: Final st: NotStopd
t0: [02:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:16:00 24/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.8 u1: % rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 311 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.18 u1: /mic l rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [03:16:00 24/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 88 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2 u1: mEq/L rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 88 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 u1: mEq/L rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:16:00 24/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [03:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [04:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [04:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [03:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 24/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 24/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [04:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: CRT v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: No Spon Resp st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [04:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: CRT v1: Plan of Care st: NotStopd t0: [04:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: CRT v1: Feeding st: NotStopd t0: [04:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [04:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: CRT v1: Soft st: NotStopd t0: [04:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: CRT v1: Abdominal st: NotStopd t0: [04:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.7 u1: Deg. C st: NotStopd t0: [04:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [04:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 4.9 u1: L/min st: NotStopd t0: [04:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: CRT v1: Heel, Left st: NotStopd t0: [04:00:00 24/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: CRT v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 24/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: CRT v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 24/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: CRT v1: Duoderm st: NotStopd t0: [04:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: CRT v1: Heel, Right st: NotStopd t0: [04:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: CRT v1: Coccyx st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: CRT v1: Side Rails Up st: NotStopd t0: [04:00:00 24/09/2017] id: Skin Color el: 0 cu: MICU cg: CRT v1: Normal for Race st: NotStopd t0: [04:00:00 24/09/2017] id: Skin Integrity el: 0 cu: MICU cg: CRT v1: Impaired st: NotStopd t0: [04:00:00 24/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: CRT v1: Warm v2: Dry st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Stool Guaiac el: 0 cu: MICU cg: CRT v1: Not Applicable st: NotStopd t0: [04:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: CRT v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: CRT v1: Relative st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 490 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: CRT v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7815 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd t0: [04:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: CRT v1: Present st: NotStopd
t0: [05:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [05:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 136 rs: Manual st: NotStopd
t0: [04:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 24/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 24/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 24/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 24/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [03:15:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [05:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7755 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [05:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [04:00:00 24/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 24/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [06:00:00 24/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 24/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 24/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [06:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7695 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [06:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [05:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml t0: [06:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [04:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd
t0: [06:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7695 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 250 vu: ml t0: [06:00:00 24/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [23:00:00 24/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 125 ap: none
t0: [06:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 87 rs: Manual st: NotStopd
t0: [03:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:16:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7859 id: Vancomycin/Trough Drug Level el: 0 cu: MICU cg: 1663 v1: 15.7 rs: Final st: NotStopd
t0: [07:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7635 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [07:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml
t0: [07:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 24/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 24/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 24/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 24/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 24/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 24/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 24/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Aching st: NotStopd t0: [08:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 24/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 24/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 24/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 24/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 80 rs: Manual st: NotStopd t0: [08:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 24/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [08:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [08:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [08:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [08:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [08:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 494 u1: ml/B st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7575 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [09:00:00 24/09/2017] tf: [17:00:00 24/09/2017] dt: 480 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [10:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7455 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 150 vu: ml t0: [10:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [10:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 80 vu: ml t0: [10:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [10:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 157 rs: Manual st: NotStopd
t0: [11:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7395 id: D5/.45NS IV Infusions el: 2 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [11:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [11:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [11:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [12:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.26 u1: L/min st: NotStopd t0: [12:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 541 u1: ml/B st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 139 rs: Manual st: NotStopd
t0: [12:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 24/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 24/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 24/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 24/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 24/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 24/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 24/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 24/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 24/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 24/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7335 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 24/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 24/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 24/09/2017] tf: [09:00:00 25/09/2017] dt: 1260 id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [12:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [12:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 24/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 24/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [13:00:00 24/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [13:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [13:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [13:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 117 rs: Manual st: NotStopd
t0: [14:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [14:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [14:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [14:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7215 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [15:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [15:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [15:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [16:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [16:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 501 u1: ml/B st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
io: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ra: 10 ru: ml/hr
id: D5/.45NS el: 3 cu: MICU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Infusion
t0: [16:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 7095 id: Family Communication el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/09/2017] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 24/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 24/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 24/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 24/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 24/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 24/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 40 vu: ml t0: [16:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [16:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 86 rs: Manual st: NotStopd
t0: [17:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [17:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [17:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml
t0: [18:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 85 rs: Manual st: NotStopd
tf: [17:00:00 25/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [18:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [18:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [18:00:00 24/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [18:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [23:00:00 24/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 300 ap: none
t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 24/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [20:00:00 24/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 24/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [20:00:00 24/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 24/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 24/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 24/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [20:00:00 24/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5.4 u1: L/min st: NotStopd t0: [20:00:00 24/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 11 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 98 u1: % st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 24/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 24/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [19:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 109 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 93 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 24/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 24/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 24/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 24/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 24/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 24/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 24/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 24/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [20:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 24/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 24/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 24/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 24/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 24/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 24/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 24/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 24/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 24/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 24/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 24/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 24/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 24/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 24/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 24/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 24/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 24/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 24/09/2017] tf: [14:15:00 29/09/2017] dt: 6855 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 24/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 24/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 24/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 24/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 24/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 24/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [19:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [19:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [20:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [20:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [20:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [20:00:00 24/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 24/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [20:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd
t0: [21:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 223 rs: Manual st: NotStopd
t0: [21:00:00 24/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 24/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 24/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [21:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 24/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:00:00 24/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [21:00:00 24/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [21:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [21:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [21:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [20:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN u1: mmHg st: NotStopd t0: [21:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN u1: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [22:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [22:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [22:00:00 24/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 224 rs: Manual st: NotStopd
t0: [21:00:00 24/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 120 vu: ml
t0: [21:00:00 24/09/2017] tf: [06:00:00 25/09/2017] dt: 540 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:30:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 180 ap: none
t0: [23:00:00 24/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 24/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 24/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 24/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 24/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 24/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 24/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 24/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 24/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 24/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [23:00:00 24/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 24/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 24/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml
t0: [00:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 81 rs: Manual st: NotStopd
t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [00:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [00:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [00:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 7.1 u1: L/min st: NotStopd t0: [00:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 4 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 98 u1: % st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 520 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 24/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 24/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 24/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 24/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 24/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [23:00:00 24/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 24/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 24/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 24/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 99 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 25/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [00:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 25/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 25/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 25/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 25/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 25/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 25/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 24/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [00:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [00:00:00 25/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [00:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2.5 vu: ml t0: [00:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [00:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [00:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 60 ap: none
t0: [01:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [01:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1.5 vu: ml t0: [01:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml
t0: [01:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [01:00:00 25/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [01:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [01:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [02:00:00 25/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [02:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [02:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [02:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [02:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 60 cv: 3630 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 60 cv: 3830 ap: none
t0: [02:00:00 25/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [02:00:00 25/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [02:00:00 25/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 25/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 25/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [02:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 25/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [02:00:00 25/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [02:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [02:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 25/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [02:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 25/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6495 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 25/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [03:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 128 rs: Manual st: NotStopd
t0: [03:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [03:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [03:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml
t0: [03:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 25 cv: 25 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2453 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 85 cv: 2828 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 315 ap: none t0: [23:00:00 25/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 25 cv: -1002 ap: none t0: [23:00:00 25/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 25 cv: 16462 ap: carryForward
t0: [03:28:00 25/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6407 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [03:28:00 25/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.09 rs: Final st: NotStopd
t0: [03:01:00 25/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.6 u1: % rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 343 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.47 u1: /mic l rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: No Spon Resp st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: CRT v1: 20 t0: [04:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:5.0 st: NotStopd t0: [04:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35.4 u1: Deg. C st: NotStopd t0: [04:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 18 st: NotStopd t0: [04:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [04:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5.2 u1: L/min st: NotStopd t0: [04:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: CRT v1: 99 u1: % st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 525 u1: ml/B st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: PT el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.6 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6434 id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.6 rs: Final st: NotStopd
t0: [00:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6615 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [04:00:00 25/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Unable to Stage st: NotStopd t0: [04:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 25/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 25/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 25/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6375 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 25/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 8 u1: BPM st: NotStopd t0: [04:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 25/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 25/09/2017] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 25/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [04:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [03:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [04:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [04:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [04:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 90 rs: Manual st: NotStopd
t0: [03:01:00 25/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [03:01:00 25/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:01:00 25/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd
t0: [05:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 91 rs: Manual st: NotStopd
t0: [06:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [05:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [05:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [05:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [06:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [06:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [06:00:00 25/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [06:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 25/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [06:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6255 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 25/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [06:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 70 rs: Manual st: NotStopd
t0: [06:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd
t0: [06:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [03:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [06:30:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 71 rs: Manual st: NotStopd
t0: [06:35:00 25/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [06:35:00 25/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:35:00 25/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [06:35:00 25/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [06:35:00 25/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [06:35:00 25/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [07:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 49 rs: Manual st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 25/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 25/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [08:00:00 25/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Intermittent st: NotStopd t0: [08:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 25/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 25/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 25/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [07:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [07:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [07:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [08:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [08:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [08:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd
t0: [07:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [08:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [08:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [08:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6135 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6075 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [09:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [09:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vu: ml st: Stopped t0: [08:00:00 25/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: RN ai: 274 vu: ml
t0: [09:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 148 rs: Manual st: NotStopd
t0: [09:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6075 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [09:00:00 25/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [09:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [09:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [09:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [09:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [09:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [09:00:00 25/09/2017] tf: [17:00:00 25/09/2017] dt: 480 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 26/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Dextrose 50% v1: 12.5 u1: gm tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Citalopram Hydrobromide v1: 40 u1: mg
t0: [09:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6015 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [10:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [10:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 6015 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 25/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [10:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [10:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [10:00:00 25/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 25/09/2017] tf: [05:00:00 28/09/2017] dt: 4020 id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [10:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 25/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 25/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [11:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5895 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 25/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 25/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [12:00:00 25/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Intermittent st: NotStopd t0: [12:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 25/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 25/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [12:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5895 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 25/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [11:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [12:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [12:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [11:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [12:00:00 25/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5895 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 25/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 25/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 172 rs: Manual st: NotStopd
t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [13:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [13:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [13:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [13:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [13:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [13:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [13:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [13:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5835 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 25/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [13:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5775 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [14:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [14:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [14:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [14:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [14:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [13:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [13:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [13:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [14:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [14:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [13:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 123 rs: Manual st: NotStopd
t0: [15:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5715 id: BATH el: 0 cu: MICU cg: RN v1: Done t0: [15:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5715 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 25/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [15:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [15:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 25/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [15:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 25/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 25/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [15:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 25/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [15:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [15:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 25/09/2017] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 18 t0: [16:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [16:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [16:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [16:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [16:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 25/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5715 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 25/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 25/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 25/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 25/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 25/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5655 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 25/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [17:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [17:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 25/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [17:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 25/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [16:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 71 rs: Manual st: NotStopd
t0: [17:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [12:00:00 25/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 25/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5595 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [17:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [17:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [17:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 74 rs: Manual st: NotStopd
t0: [16:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [18:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5535 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [18:00:00 25/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [18:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [18:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd
t0: [18:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
tf: [21:00:00 28/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Voriconazole v1: 200 u1: mg
t0: [18:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [18:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [18:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [18:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 97 rs: Manual st: NotStopd
t0: [19:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [19:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [20:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 25/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 25/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 25/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 25/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 25/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 25/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 25/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 25/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 25/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 25/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 25/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 25/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 25/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [20:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 25/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 25/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 25/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 25/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 25/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 25/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 25/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 25/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 25/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 25/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/09/2017] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 25/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 25/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 25/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 25/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 25/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 25/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5415 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 25/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 25/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 25/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 25/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 25/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 25/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 25/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [20:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [20:00:00 25/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 25/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [21:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 25/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 25/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 25/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [21:00:00 25/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 25/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 25/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 25/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 25/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [21:00:00 25/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [21:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [20:30:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 143 rs: Manual st: NotStopd
t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [21:00:00 25/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [21:00:00 25/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [21:00:00 25/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 25/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 25/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [21:00:00 25/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [21:00:00 25/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [21:00:00 25/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [21:00:00 25/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 25/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 25/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 25/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 201 rs: Manual st: NotStopd
t0: [23:00:00 25/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 25/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 25/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 25/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 165 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 25/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 25/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 25/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 25/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 25/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 25/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 25/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [23:00:00 25/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 172 rs: Manual st: NotStopd
t0: [22:00:00 25/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [22:00:00 25/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 25/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [22:00:00 25/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [22:00:00 25/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [22:00:00 25/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [22:00:00 25/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 25/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5175 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 26/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 26/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 26/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 26/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 26/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 26/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 26/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 26/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 26/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 26/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 26/09/2017] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 26/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 25/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [00:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [22:00:00 25/09/2017] tf: [21:30:00 27/09/2017] dt: 2850 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 25/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [01:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [01:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [01:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [01:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [01:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [01:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [01:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [01:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [01:00:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [01:00:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [01:00:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [01:00:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [01:00:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [01:00:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [01:00:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 170 rs: Manual st: NotStopd
t0: [02:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [02:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [03:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [02:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 26/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 155 cv: 155 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 3730 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 155 cv: 3855 ap: none
t0: [21:00:00 25/09/2017] tf: [14:15:00 29/09/2017] dt: 5355 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 5115 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4995 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [03:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [03:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [03:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 26/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [03:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [03:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [03:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [03:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd
t0: [03:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 156 rs: Manual st: NotStopd
t0: [03:30:00 26/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 165 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4965 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 165 rs: Final st: NotStopd t0: [03:30:00 26/09/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.14 rs: Final st: NotStopd
t0: [23:00:00 25/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [23:00:00 25/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:00:00 25/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [03:00:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [03:00:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [03:00:00 26/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [04:00:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 26/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 26/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 26/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 26/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 26/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 26/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 26/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 26/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 26/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 26/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4935 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 26/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 26/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 26/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [04:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:51:00 26/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 299 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.37 u1: /mic l rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd
t0: [05:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [05:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [05:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:51:00 26/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [02:51:00 26/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 26/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: RN v1: 142 rs: Manual st: NotStopd t0: [05:00:00 26/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [05:00:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [05:00:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [05:00:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [05:00:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [05:00:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [05:00:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [05:00:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 495 u1: ml/B st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4875 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [06:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [06:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [06:00:00 26/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 80 vu: ml t0: [06:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [06:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [06:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd
t0: [07:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 8 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [07:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [07:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4755 id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: No Spon Resp st: NotStopd
t0: [08:00:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 26/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 26/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 26/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: Movement/Turning st: NotStopd t0: [08:00:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4695 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 26/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 26/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4695 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 26/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 26/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4695 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4695 id: Daily Weight el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [08:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 26/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 26/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 26/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [08:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [08:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:18:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [08:18:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:18:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:18:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:18:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:18:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.8 u1: Deg. C st: NotStopd t0: [08:18:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:18:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:18:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [08:18:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:18:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:18:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:18:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:18:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4677 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:18:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:18:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:18:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:18:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:18:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:18:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:18:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [08:30:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [09:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [09:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [09:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [09:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 26/09/2017] id: BATH el: 0 cu: MICU cg: RN v1: done t0: [08:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4695 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 26/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 26/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 26/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 26/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [09:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [09:00:00 26/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4635 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [09:00:00 26/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [09:00:00 26/09/2017] id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [09:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd
id: Propofol el: 200 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Clopidogrel Bisulfate v1: 75 u1: mg
id: N/A el: 2 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [10:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4575 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [10:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [10:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:20:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:20:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:20:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:20:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:20:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:20:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:20:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:20:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:20:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:20:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:20:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:20:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:20:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:20:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:20:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:20:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:20:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4555 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:20:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:20:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:20:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:20:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:20:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:25:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:25:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:25:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:25:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:25:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:25:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:25:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [10:25:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:25:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:25:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:25:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:25:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:25:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:25:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:25:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:25:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:25:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4550 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:25:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:25:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [10:25:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:25:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:25:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:30:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:30:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:30:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:30:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:30:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:30:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:30:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4545 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:30:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:30:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:35:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:35:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:35:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:35:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:35:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:35:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:35:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [10:35:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:35:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 168 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:35:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [10:35:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:35:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:35:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:35:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:35:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:35:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:35:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4540 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:35:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:35:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:35:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:35:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:35:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:40:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:40:00 26/09/2017] id: CVP el: 0 cu: MICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:40:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:40:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:40:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:40:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:40:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:40:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:40:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:40:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4535 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:40:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:40:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:40:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:40:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:40:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:45:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:45:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:45:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:45:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:45:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:45:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:45:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:45:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:45:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:45:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:45:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:45:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:45:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:45:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4530 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:45:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:45:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:45:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:45:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [10:00:00 27/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Vecuronium Bromide v1: 5 u1: mg
t0: [10:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [11:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [11:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [11:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 160 rs: Manual st: NotStopd
t0: [11:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [11:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [10:45:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4530 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 1 u1: torr st: NotStopd
t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [11:00:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [11:00:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [11:00:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [11:00:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Other/Remarks st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4515 id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd
t0: [11:15:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:15:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:15:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:15:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:15:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:15:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:15:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:15:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:15:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:15:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [11:15:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:15:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:15:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:15:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:15:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4500 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [11:15:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:15:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:15:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:15:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [11:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:15:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4500 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:15:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 26/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [12:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4455 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [12:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 168 rs: Manual st: NotStopd
t0: [12:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [12:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [12:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4455 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 26/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [13:00:00 26/09/2017] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [13:27:00 26/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [13:27:00 26/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [13:27:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [13:27:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [13:27:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [13:27:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [13:27:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:27:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [13:27:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [13:27:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [13:27:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [13:27:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:27:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:27:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [13:27:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4368 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:27:00 26/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:27:00 26/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [13:27:00 26/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [13:27:00 26/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [13:27:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:27:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4455 id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [13:30:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:30:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:30:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [13:30:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:30:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [13:30:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:30:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:30:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:30:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4365 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [13:30:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4365 id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [13:30:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:30:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 112.5 vu: ml nb: 1 t0: [13:30:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 13 vu: ml nb: 1 t0: [13:30:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 15 vu: ml t0: [13:30:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml
t0: [13:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4365 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [14:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [14:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [14:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [14:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [14:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 26/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [14:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 26/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [14:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 37.5 vu: ml t0: [14:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [14:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml
io: Respalor Tube Feeding el: 2 cu: MICU cg: RN ra: 30 ru: ml/hr
id: Respalor el: 2 cu: MICU cg: RN io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [14:30:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [14:00:00 26/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [00:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [14:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [14:00:00 26/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [14:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [14:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [14:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [14:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [14:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [14:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [14:00:00 26/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4335 id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 26/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [14:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [14:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [14:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [14:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [14:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Withdrawn st: NotStopd t0: [14:00:00 26/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [15:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4275 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [15:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [15:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [15:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [15:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4275 id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 15 vu: ml
t0: [15:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 26/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [15:00:00 26/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Constant st: NotStopd t0: [15:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [15:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd
t0: [15:00:00 26/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 45 vu: ml
t0: [15:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [15:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 26/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [15:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [15:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [15:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [15:30:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [16:00:00 26/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 109 vo: 0 st: D/C'd t0: [16:00:00 26/09/2017] id: Respalor Tube Feeding el: 1 cu: MICU cg: -1 ai: 274 vo: 0 st: D/C'd
t0: [16:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 26/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4215 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [16:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 75 vu: ml t0: [16:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [16:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [16:00:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 26/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [16:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 26/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [17:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Dampened st: NotStopd t0: [17:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 26/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [17:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [17:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4155 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [17:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [17:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [17:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [17:00:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [17:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 26/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [17:30:00 26/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 120 vu: ml
t0: [17:30:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 5 vu: ml t0: [17:30:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [17:30:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml t0: [17:30:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [17:30:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [17:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [17:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 26/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4155 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [17:00:00 26/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [17:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Withdrawn st: NotStopd
t0: [16:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4215 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 26/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [17:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4155 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [17:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [17:00:00 26/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [17:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [17:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [17:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [17:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [17:00:00 26/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [17:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [17:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4155 id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd
t0: [17:50:00 26/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [17:50:00 26/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [17:50:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [17:50:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [17:50:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [17:50:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [17:50:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [17:50:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:50:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.66 u1: Deg. C st: NotStopd t0: [17:50:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [17:50:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [17:50:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:50:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.7 u1: L/min st: NotStopd t0: [17:50:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:50:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:50:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:50:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:50:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:50:00 26/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:50:00 26/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [17:50:00 26/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [17:50:00 26/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:50:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:50:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:50:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4105 id: SaO2 ABG's el: 0 cu: MICU cg: RRT v1: 3 u1: % rs: Manual st: NotStopd
t0: [18:00:00 26/09/2017] id: CVP el: 0 cu: MICU cg: -1 st: D/C'd
t0: [18:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: Cowork v1: 145 rs: Manual st: NotStopd
t0: [18:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [18:00:00 26/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4095 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [18:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 5 vu: ml t0: [18:00:00 26/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 50 vu: ml t0: [18:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [18:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml t0: [18:00:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [18:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd
t0: [18:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [18:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 26/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive st: NotStopd t0: [18:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [18:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 26/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [19:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [19:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [19:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [19:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 4035 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [19:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [19:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [19:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [19:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [19:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [19:00:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [19:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [19:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 26/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [20:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [20:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [20:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [20:00:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [20:00:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [20:00:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [20:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [20:00:00 26/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 26/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 26/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 26/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 26/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd
t0: [20:27:00 26/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [20:27:00 26/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [20:27:00 26/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [20:27:00 26/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [20:27:00 26/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:27:00 26/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [20:27:00 26/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:27:00 26/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:27:00 26/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:27:00 26/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [20:27:00 26/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.83 u1: L/min st: NotStopd t0: [20:27:00 26/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:27:00 26/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:27:00 26/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:27:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:27:00 26/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:27:00 26/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [20:27:00 26/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [20:27:00 26/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [20:27:00 26/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:27:00 26/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:27:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3948 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: Cough Type el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 26/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 26/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 26/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 26/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 26/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 26/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 26/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 26/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 26/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 26/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 26/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 26/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 26/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 26/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 26/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [20:00:00 26/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 8 cm v2: 8 cm st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [20:00:00 26/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Aquacel st: NotStopd t0: [20:00:00 26/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Aquacel st: NotStopd t0: [20:00:00 26/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 26/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 26/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 26/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 26/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 26/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 26/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 26/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 26/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 26/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3975 id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 26/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 26/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 26/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 26/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:30:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 5 vu: ml t0: [20:30:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [20:30:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml t0: [20:30:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:30:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [20:30:00 26/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml
t0: [23:00:00 26/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 295 ap: none
t0: [21:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3915 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [21:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:30:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 26/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:30:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:30:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:30:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3885 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [21:30:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:30:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:30:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [21:30:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [21:30:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [21:30:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [21:30:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [21:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:30:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 26/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [20:00:00 26/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 26/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [22:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [22:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3855 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [22:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:00:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [22:00:00 26/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 26/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [22:00:00 26/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 103 rs: Manual st: NotStopd
t0: [19:30:00 26/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [19:30:00 26/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Constant st: NotStopd
t0: [22:00:00 26/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 26/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [22:00:00 26/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [22:30:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:30:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:30:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:30:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:30:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:30:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [22:30:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:30:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:30:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:30:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3825 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [22:30:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:30:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:30:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:30:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 26/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [22:30:00 26/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [22:30:00 26/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [22:30:00 26/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [22:30:00 26/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 75 vu: ml t0: [22:30:00 26/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [22:30:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 26/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -99 cv: -99 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN pv: 75 cv: 125 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 16 cv: 2022 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 56 cv: 2582 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 40 cv: 265 ap: none t0: [23:00:00 26/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -99 cv: -1273 ap: none t0: [23:00:00 26/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -99 cv: 15189 ap: carryForward
t0: [22:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:30:00 26/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:30:00 26/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:30:00 26/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:30:00 26/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:30:00 26/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:30:00 26/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:30:00 26/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:30:00 26/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:30:00 26/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [23:00:00 26/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 26/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 26/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 26/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 26/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 26/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [23:00:00 26/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 26/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 26/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 26/09/2017] tf: [14:15:00 29/09/2017] dt: 3795 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [23:00:00 26/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 26/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [23:00:00 26/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 26/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 114 rs: Manual st: NotStopd
t0: [00:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [00:00:00 27/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [00:00:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [00:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 27/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.81 u1: L/min st: NotStopd t0: [00:00:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [00:00:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [00:00:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 27/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 27/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Skin Breakdown st: NotStopd t0: [00:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Cough Type el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 27/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 27/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 27/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 27/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 27/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 27/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 27/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 27/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 27/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 27/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 27/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 27/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Position Change el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 27/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 27/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [00:00:00 27/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 27/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [00:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 27/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Pale st: NotStopd t0: [00:00:00 27/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 27/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 27/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3735 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 27/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [00:00:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 27/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 27/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 27/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 27/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 27/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 15 vu: ml t0: [00:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.75 vu: ml t0: [00:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7.5 vu: ml t0: [00:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [01:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [01:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [01:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [01:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [01:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [01:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [01:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3675 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [01:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [01:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [01:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [01:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [01:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [01:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [01:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [01:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 27/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [02:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 27/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [02:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [02:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [02:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [02:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [02:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 27/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [02:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3615 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [02:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [02:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [02:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [02:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [02:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [02:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3615 id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 116 vo: 100 vu: ml t0: [02:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [02:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [03:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [03:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [03:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [03:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [03:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [03:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [03:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3555 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [03:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [03:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [03:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [03:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [03:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 27/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 27/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Skin Breakdown st: NotStopd t0: [04:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3495 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 27/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 27/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 27/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 27/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 27/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 27/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 27/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 27/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 27/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [04:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [04:00:00 27/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 27/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 27/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 27/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 27/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 27/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 27/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3495 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 27/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 27/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 27/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 27/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 27/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [04:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3495 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [04:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 27/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 27/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 27/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 27/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 27/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 27/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 27/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [04:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [04:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 27/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 27/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 27/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 27/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 27/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 27/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 20 vu: ml t0: [03:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [03:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [04:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [04:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [03:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 154 rs: Manual st: NotStopd t0: [04:15:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [04:15:00 27/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:15:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [04:15:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [04:15:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:15:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [04:15:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:15:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [04:15:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [04:15:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [04:15:00 27/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.85 u1: L/min st: NotStopd t0: [04:15:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 478 u1: ml/B st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:15:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:15:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [04:15:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:15:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:15:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:15:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:15:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3480 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [05:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [05:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [05:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [05:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [05:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [05:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [05:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3435 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [05:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3435 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [05:00:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [05:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [05:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [05:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [05:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [05:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 0.5 vu: ml t0: [05:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [05:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [06:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3375 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [06:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 27/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 27/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [06:00:00 27/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 27/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [06:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [06:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [06:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [06:00:00 27/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [06:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [06:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [06:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd
t0: [06:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [06:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [06:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 149 rs: Manual st: NotStopd
t0: [07:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [07:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3315 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [07:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [07:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [07:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [07:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [07:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:56:00 27/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [06:56:00 27/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [06:56:00 27/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [06:56:00 27/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [06:56:00 27/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [06:56:00 27/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [05:00:00 27/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 311 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd
t0: [05:00:00 27/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [08:47:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:47:00 27/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:47:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 10 t0: [08:47:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:47:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:47:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [08:47:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:47:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [08:47:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:47:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:47:00 27/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [08:47:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:47:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:47:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:47:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:47:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [08:47:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3208 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:47:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:47:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [08:47:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:47:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:47:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [08:47:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:47:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:47:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Crackles st: NotStopd t0: [08:47:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:47:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [08:47:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [08:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 27/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [08:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 27/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3195 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [09:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 20 vu: ml t0: [09:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [09:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [08:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 27/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [08:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd
t0: [09:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [08:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd t0: [10:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3135 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [10:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 27/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 27/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 27/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 27/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 27/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 27/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 27/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Yellow st: NotStopd t0: [08:00:00 27/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 27/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 27/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 27/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 27/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 27/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 27/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 27/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [10:30:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 71 rs: Manual st: NotStopd
t0: [11:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [11:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [11:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3075 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [11:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [10:00:00 27/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml st: Stopped t0: [10:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [10:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [11:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [11:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [12:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [12:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [12:00:00 27/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 78.5714 u1: units st: NotStopd t0: [12:00:00 27/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [12:00:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [12:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [12:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.8 u1: Deg. C st: NotStopd t0: [12:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 27/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6 u1: L/min st: NotStopd t0: [12:00:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 27/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 78.5714 u1: units st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 27/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.28 u1: L st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [12:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [12:00:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [12:00:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [12:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [12:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [12:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [12:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [13:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [13:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [13:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [13:00:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [13:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [13:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [13:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2955 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [13:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 27/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 103.333 u1: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2895 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [14:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [14:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [10:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [09:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [13:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd t0: [14:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [13:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vu: ml t0: [14:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vu: ml
t0: [15:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2835 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [15:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [15:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [15:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [15:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [15:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3435 id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3435 id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd
t0: [16:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 27/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 27/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 27/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 27/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 27/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 27/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 27/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 27/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 27/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 27/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 27/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 27/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 27/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [16:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2775 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [16:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [16:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [16:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3075 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2895 id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 27/09/2017] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 27/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 27/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 27/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 27/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 27/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [10:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [12:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 27/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [12:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [13:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 27/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 27/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 27/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [13:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 27/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 27/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 27/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [16:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
tf: [10:00:00 29/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [10:00:00 29/09/2017] pt: Unit Dose rt: SC fr: DINNER fs: 17 dn: 1 m1: Insulin Glargine v1: 24 u1: UNIT tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q6H fs: 17, 23, 5, 11 dn: 4 m1: Acetaminophen (Liquid) v1: 650 u1: mg
t0: [17:14:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [17:14:00 27/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [17:14:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [17:14:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [17:14:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [17:14:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:14:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [17:14:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:14:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [17:14:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [17:14:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [17:14:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [17:14:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:14:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [17:14:00 27/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [17:14:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:14:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:14:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [17:14:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [17:14:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2701 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [17:14:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:14:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [17:14:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [17:14:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:14:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:14:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [17:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [17:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [17:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2715 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [17:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [17:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [17:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 169 rs: Manual st: NotStopd
t0: [17:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [17:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [17:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [17:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 27/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 27/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 27/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [17:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [17:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [17:00:00 27/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: Both Legs st: NotStopd t0: [17:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 27/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3255 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 27/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 27/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 27/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 27/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 27/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 27/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 27/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd
t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 3015 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2715 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [17:00:00 27/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2715 id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2715 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [17:00:00 27/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [17:00:00 27/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2715 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 27/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [17:00:00 27/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [17:50:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [18:01:00 27/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 160 rs: Final st: NotStopd t0: [18:01:00 27/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [18:01:00 27/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 160 rs: Final st: NotStopd t0: [18:01:00 27/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 75 u1: mg
t0: [18:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [20:00:00 27/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [20:00:00 27/09/2017] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [20:00:00 27/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 27/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [20:00:00 27/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 27/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.3 u1: Deg. C st: NotStopd t0: [20:00:00 27/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [20:00:00 27/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 27/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [20:00:00 27/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 27/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 27/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 27/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [20:00:00 27/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 27/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [20:00:00 27/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 27/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 27/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 27/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [20:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [20:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 135 rs: Manual st: NotStopd
t0: [20:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 30 vu: ml t0: [20:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 15 vu: ml t0: [20:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [20:00:00 27/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 27/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [20:00:00 27/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 27/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 27/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 27/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 27/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 27/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 27/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 27/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2535 id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 27/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 27/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [20:00:00 27/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 27/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 27/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 27/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 27/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 27/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 27/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 27/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 27/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 27/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 27/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 27/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 27/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 27/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 27/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 27/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [20:00:00 27/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 27/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 27/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 27/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 27/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 27/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2475 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 27/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [21:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [21:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [21:00:00 27/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 27/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 27/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 27/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 27/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 27/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 82 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Both Legs st: NotStopd t0: [21:00:00 27/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 27/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 27/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 27/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [21:00:00 27/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [21:00:00 27/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [21:00:00 27/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [21:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2475 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [21:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 27/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 27/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:00:00 27/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [21:00:00 27/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [21:00:00 27/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [21:00:00 27/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 27/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 27/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [21:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [21:00:00 27/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [21:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [21:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 420 vu: ml
t0: [20:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 27/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 60 ap: none
t0: [22:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 81 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2415 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [22:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 27/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [22:00:00 27/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [22:00:00 27/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [22:00:00 27/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 27/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [21:30:00 27/09/2017] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 27/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 976.25 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 2076.25 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 1040 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 2735 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -858.75 ap: none t0: [23:00:00 27/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 2935 ap: none t0: [23:00:00 27/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 14330.3 ap: carryForward
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate v1: 12.5-25 u1: mcg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone v1: 5 u1: mg
t0: [00:00:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 83 rs: Manual st: NotStopd
t0: [23:00:00 27/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 27/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 27/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 27/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 27/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 27/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 27/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 27/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [23:00:00 27/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 27/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 27/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 27/09/2017] tf: [14:15:00 29/09/2017] dt: 2355 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [23:00:00 27/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 27/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 27/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 27/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 28/09/2017] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 28/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [00:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: Unable to score st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 28/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med st: NotStopd t0: [00:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [00:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [00:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 28/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [00:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [00:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 20 vu: ml t0: [00:00:00 28/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 28/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 230 ap: none
t0: [00:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [00:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [00:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [00:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [00:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [00:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [00:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 507 u1: ml/B st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [00:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [00:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2295 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd
t0: [01:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [01:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2235 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [01:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [01:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [01:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [00:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [02:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [02:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2175 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [02:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [02:00:00 28/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [02:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [02:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [02:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 28/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [02:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [02:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2175 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [02:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 28/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 750 ap: none
t0: [03:00:00 28/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [03:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [03:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [03:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2115 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [03:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [03:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [03:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [03:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [04:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 28/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 28/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [04:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 28/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 192 u1: mmHg st: NotStopd t0: [04:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 28/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [04:00:00 28/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [04:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2055 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [04:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 28/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 28/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Clammy st: NotStopd t0: [04:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [04:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 28/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [04:09:00 28/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [04:09:00 28/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:09:00 28/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:09:00 28/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 28/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 28/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [04:09:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2046 id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.11 rs: Final st: NotStopd
t0: [03:53:00 28/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.9 u1: % rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 322 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 rs: Final st: NotStopd
t0: [05:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [05:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [05:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [05:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [05:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: RN ai: 112 vu: ml st: Stopped t0: [05:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [05:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [05:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [05:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: No Spon Resp st: NotStopd t0: [05:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [05:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [05:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [05:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.7 u1: Deg. C st: NotStopd t0: [05:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [05:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [05:00:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [05:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 505 u1: ml/B st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [05:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [05:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:53:00 28/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:53:00 28/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:30:00 28/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [05:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1965 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [05:30:00 28/09/2017] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [23:00:00 28/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [02:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2175 id: PresSoreStage/Heal#3 el: 0 cu: MICU cg: RN v1: Red, Unbroken st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [02:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 2175 id: PressSoreWoundBase#3 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [05:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [05:00:00 28/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [05:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1995 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 7 cm v2: 7 cm st: NotStopd t0: [05:00:00 28/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 4 cm st: NotStopd t0: [05:00:00 28/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 28/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 28/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [05:00:00 28/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [05:00:00 28/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Purple st: NotStopd t0: [05:00:00 28/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [05:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd
t0: [06:00:00 28/09/2017] id: D5/.45NS IV Infusions el: 3 cu: MICU cg: -1 ai: 112 vo: 0 st: D/C'd t0: [06:00:00 28/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 0 st: D/C'd
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Voriconazole v1: 200 u1: mg
t0: [05:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [05:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 66 rs: Manual st: NotStopd
t0: [06:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [06:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [06:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [06:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [06:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1935 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [06:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [08:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [08:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1815 id: Previous WeightF el: 0 cu: MICU cg: RN v1: 69 u1: kg st: NotStopd t0: [08:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [08:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [08:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 100 rs: Manual st: NotStopd
t0: [08:00:00 28/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [08:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1815 id: GT Flush PO/Gastric el: 1 cu: MICU cg: RN ai: 338 vo: 60 vu: ml t0: [08:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [08:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [08:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [08:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [08:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.6 u1: L/min st: NotStopd t0: [08:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [08:00:00 28/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [08:00:00 28/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 463 u1: ml/B st: NotStopd t0: [08:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [08:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:30:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [08:30:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:30:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [08:30:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:30:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:30:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [08:30:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:30:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:30:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:30:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:30:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [08:30:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:30:00 28/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:30:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:30:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 513 u1: ml/B st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:30:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:30:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [08:30:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:30:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:30:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:30:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:30:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1785 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 28/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 28/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 28/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 28/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 28/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1815 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [08:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 28/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [08:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [08:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [08:00:00 28/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 28/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive st: NotStopd t0: [08:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 28/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 28/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hyperactive st: NotStopd
t0: [09:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
tf: [09:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: NS v2: 250 u2: ml
t0: [09:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [09:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [09:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [09:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 172 u1: mmHg v2: 163 u2: mmHg st: NotStopd t0: [10:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 168 u1: mmHg st: NotStopd t0: [10:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [11:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 28/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [10:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [10:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [10:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: Hoyer st: NotStopd t0: [10:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd
t0: [12:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [12:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [12:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [12:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [12:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [12:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 28/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 512 u1: ml/B st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [12:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [12:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [12:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [12:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [13:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [13:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [13:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [14:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [14:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [14:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [14:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [14:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 85 vu: ml
t0: [12:00:00 28/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 28/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: Cough Type el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 28/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 28/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 28/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 28/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1575 id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: Eye Care el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [12:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [12:00:00 28/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 28/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [12:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [12:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [12:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 28/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 28/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [15:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [16:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1335 id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [15:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [15:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 28/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 28/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 28/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 28/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [16:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 28/09/2017] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [16:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [16:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [16:00:00 28/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 28/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [16:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 28/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 28/09/2017] id: PresSoreStage/Heal#1 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 28/09/2017] id: PresSoreStage/Heal#2 el: 0 cu: MICU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 28/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 28/09/2017] id: PressSore Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 7 cm v2: 7 cm st: NotStopd t0: [16:00:00 28/09/2017] id: PressSore Wth/Lth #2 el: 0 cu: MICU cg: RN v1: 4 cm v2: 4 cm st: NotStopd t0: [16:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [16:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [16:00:00 28/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 28/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 28/09/2017] id: PressSoreWoundBase#2 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 28/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [16:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [16:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [16:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [16:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 28/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 28/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 28/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [15:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [16:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [14:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [16:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [17:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [17:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [17:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [17:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [17:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [17:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [17:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [17:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [17:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [17:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [17:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 497 u1: ml/B st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [17:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1275 id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 28/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 187 rs: Manual st: NotStopd
t0: [18:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [18:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [18:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [18:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [18:00:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [18:00:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [18:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [18:00:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [18:00:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [18:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [18:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [18:00:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [18:00:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [18:00:00 28/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [18:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [18:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [18:00:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [18:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [18:00:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [19:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 149 u2: mmHg st: NotStopd t0: [19:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 153 u1: mmHg st: NotStopd t0: [19:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [19:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [19:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [19:30:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [19:30:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [19:30:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [19:30:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [19:30:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [19:30:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [19:30:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [19:30:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:30:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [19:30:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [19:30:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [19:30:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [19:30:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [19:30:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:30:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [19:30:00 28/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [19:30:00 28/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:30:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:30:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [19:30:00 28/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 491 u1: ml/B st: NotStopd t0: [19:30:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:30:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [19:30:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [19:30:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [19:30:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:30:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1095 id: Range of Motion el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 28/09/2017] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1095 id: Cough Type el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 28/09/2017] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 28/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 28/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [20:00:00 28/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 28/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 28/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 28/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 28/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 28/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 28/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 28/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 28/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [20:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 28/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [20:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 28/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [20:00:00 28/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 28/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 28/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 28/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1095 id: Position Change el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 28/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 28/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 28/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 28/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 28/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 23 st: NotStopd t0: [20:00:00 28/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 28/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [20:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [20:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 28/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 28/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 28/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2017] tf: [14:15:00 29/09/2017] dt: 1095 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [20:00:00 28/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 28/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 28/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 28/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 28/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 28/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 28/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 28/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 28/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 28/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [20:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [20:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [20:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 28/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [20:00:00 28/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 28/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 28/09/2017] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0 vu: ml st: Stopped t0: [20:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 28/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 1420 ap: none
t0: [21:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [21:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [21:00:00 28/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 28/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [21:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [21:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [21:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [21:00:00 28/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 28/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 28/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 28/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [21:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [21:00:00 28/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 28/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 28/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [21:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [21:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [21:00:00 28/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 28/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [21:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [21:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [21:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [21:00:00 28/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [21:00:00 28/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 50 vu: ml t0: [21:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [22:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [22:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 28/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [22:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [22:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [22:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [22:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [22:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [22:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [22:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [22:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [22:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [23:00:00 28/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 28/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 28/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 28/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 28/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [23:00:00 28/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 28/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [23:00:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [23:00:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [23:00:00 28/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 28/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 28/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 28/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [23:00:00 28/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 28/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 28/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [23:00:00 28/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 28/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [23:00:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [23:00:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [23:00:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [23:00:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [23:00:00 28/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 28/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [23:00:00 28/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 20 cv: 20 ap: none t0: [23:00:00 28/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 28/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 50 cv: 2900 ap: none t0: [23:00:00 28/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 1250 ap: none t0: [23:00:00 28/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 20 cv: 2160 ap: none t0: [23:00:00 28/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 30 cv: -110 ap: none t0: [23:00:00 28/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 20 cv: 3010 ap: none t0: [23:00:00 28/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 30 cv: 14220.3 ap: carryForward
t0: [23:42:00 28/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [23:42:00 28/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [23:42:00 28/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [23:42:00 28/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [23:42:00 28/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [23:42:00 28/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [23:42:00 28/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [23:42:00 28/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:42:00 28/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36.5 u1: Deg. C st: NotStopd t0: [23:42:00 28/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [23:42:00 28/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [23:42:00 28/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [23:42:00 28/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.2 u1: L/min st: NotStopd t0: [23:42:00 28/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:42:00 28/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [23:42:00 28/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:42:00 28/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [23:42:00 28/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:42:00 28/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [23:42:00 28/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 441 u1: ml/B st: NotStopd t0: [23:42:00 28/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:42:00 28/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [23:42:00 28/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [23:42:00 28/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [23:42:00 28/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:42:00 28/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [00:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [00:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 9 u1: BPM st: NotStopd t0: [00:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 29/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 29/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [21:00:00 28/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med st: NotStopd t0: [21:00:00 28/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Constant st: NotStopd t0: [00:00:00 29/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 29/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 29/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [00:00:00 29/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [20:00:00 28/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 28/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 28/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 28/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 28/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 28/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 28/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 29/09/2017] tf: [14:15:00 29/09/2017] dt: 855 id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 29/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 29/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 29/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 29/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 29/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 29/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 29/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 29/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 29/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 29/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 29/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [00:00:00 29/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 29/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 29/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v2: Intact st: NotStopd t0: [00:00:00 29/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 29/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 29/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 29/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 29/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [00:00:00 29/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 29/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [00:00:00 29/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [00:00:00 29/09/2017] tf: [14:15:00 29/09/2017] dt: 855 id: Position Change el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 29/09/2017] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 29/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 29/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 29/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 29/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 29/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 29/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 29/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 29/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 29/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2017] tf: [14:15:00 29/09/2017] dt: 855 id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [00:00:00 29/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 29/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 29/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 29/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 29/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 29/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 29/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 29/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 29/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 29/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 29/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 29/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 310 rs: Manual st: NotStopd t0: [00:00:00 29/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 29/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 29/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [01:00:00 29/09/2017] id: INV Line#3 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [01:00:00 29/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [01:00:00 29/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [01:00:00 29/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [01:00:00 29/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 28/09/2017] tf: [01:00:00 29/09/2017] dt: 300 id: INV Line#3 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 2 st: NotStopd
t0: [00:00:00 29/09/2017] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 29/09/2017] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 29/09/2017] id: INV#3 Dsg Change el: 0 cu: MICU cg: RN st: NotStopd
t0: [00:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [00:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [00:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [00:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [00:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [00:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [00:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [01:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [01:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [01:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [01:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [01:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [01:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [01:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [01:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [01:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [01:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [01:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [01:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [02:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [02:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 29/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [02:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [02:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [02:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [02:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [02:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [02:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [02:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [02:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [02:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [02:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [02:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 29/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 600 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 720 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 800 ap: none
t0: [02:00:00 29/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 29/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 450 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 1140 ap: none t0: [23:00:00 29/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 340 ap: none t0: [23:00:00 29/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 14560.3 ap: carryForward
t0: [03:40:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [03:40:00 29/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [03:40:00 29/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [03:40:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [03:40:00 29/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [03:40:00 29/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [03:40:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [03:40:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [03:40:00 29/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.4 u1: Deg. C st: NotStopd t0: [03:40:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [03:40:00 29/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [03:40:00 29/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [03:40:00 29/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [03:40:00 29/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:40:00 29/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [03:40:00 29/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [03:40:00 29/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [03:40:00 29/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:40:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:40:00 29/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 542 u1: ml/B st: NotStopd t0: [03:40:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [03:40:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [03:40:00 29/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [03:40:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [03:40:00 29/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:40:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [03:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [03:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 4 u1: BPM st: NotStopd t0: [03:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/09/2017] id: BATH el: 0 cu: MICU cg: RN v1: bath t0: [04:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/09/2017] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [04:00:00 29/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 29/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 29/09/2017] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [04:00:00 29/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 29/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 29/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 29/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 29/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 29/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 29/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 29/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [04:00:00 29/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 29/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 29/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 29/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [04:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [04:00:00 29/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 29/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 29/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 29/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 29/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 29/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [04:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 29/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 29/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 29/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 29/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 29/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [04:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [04:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 29/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 29/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 29/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [04:00:00 29/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 29/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 29/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 29/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 29/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 29/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 29/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 29/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 29/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 29/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 29/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [04:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [04:00:00 29/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 29/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [04:00:00 29/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 29/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/09/2017] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 29/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 29/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 29/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [04:00:00 29/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 168 rs: Manual st: NotStopd
t0: [05:03:00 29/09/2017] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [05:03:00 29/09/2017] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:03:00 29/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [05:03:00 29/09/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [05:03:00 29/09/2017] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [05:03:00 29/09/2017] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [04:39:00 29/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.1 u1: % rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 268 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.13 u1: /mic l rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [05:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [05:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [05:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [05:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [05:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [05:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [05:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [05:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [05:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [05:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [05:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [05:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [06:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [06:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [06:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [06:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [06:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [06:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [06:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [06:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd
t0: [05:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [04:39:00 29/09/2017] id: BUN el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:39:00 29/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 29/09/2017] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 20.6612 u1: units st: NotStopd t0: [05:00:00 29/09/2017] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 20.6612 u1: units st: NotStopd t0: [05:00:00 29/09/2017] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 29/09/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.484 u1: L st: NotStopd
t0: [06:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [06:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [06:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [07:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [07:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [07:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [07:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [07:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [07:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [07:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [07:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RN v1: #6 st: NotStopd t0: [07:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [07:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [07:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [07:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 29/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [06:00:00 29/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 29/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [06:00:00 29/09/2017] id: PressSoreTreatment#1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 29/09/2017] id: PressSoreTreatment#2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 29/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [06:00:00 29/09/2017] id: PressSoreWoundBase#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [06:00:00 29/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [06:00:00 29/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 29/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 29/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 29/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [06:00:00 29/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd
t0: [07:00:00 29/09/2017] id: Gastric Gastric Tube el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 29/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: -1 cg: RN cv: 80 ap: none
t0: [08:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [08:00:00 29/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:00:00 29/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [08:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 29/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 29/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [08:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 29/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [08:00:00 29/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 0.5 st: NotStopd t0: [08:00:00 29/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 29/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [08:00:00 29/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 29/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [08:00:00 29/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 29/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 29/09/2017] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [08:00:00 29/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 496 u1: ml/B st: NotStopd t0: [08:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [08:00:00 29/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:00:00 29/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Glargine v1: 20 u1: UNIT
t0: [08:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 29/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 29/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 29/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [08:00:00 29/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 29/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 29/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 29/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 29/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 29/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 29/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [08:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 29/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 29/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 29/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 29/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 29/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 221 u1: mmHg st: NotStopd t0: [08:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [08:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 29/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 29/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 29/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 29/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [08:00:00 29/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 29/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 29/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 29/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 29/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 29/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 29/09/2017] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 29/09/2017] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [08:00:00 29/09/2017] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [08:00:00 29/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 29/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 29/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [09:00:00 29/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 29/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [09:00:00 29/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [09:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 29/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 29/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Dampened st: NotStopd t0: [09:00:00 29/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [09:00:00 29/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 29/09/2017] id: Inc Cleansing #1 el: 0 cu: MICU cg: RN v1: Normal Saline st: NotStopd t0: [09:00:00 29/09/2017] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Clean and Dry st: NotStopd t0: [09:00:00 29/09/2017] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: Serous v2: Scant st: NotStopd t0: [09:00:00 29/09/2017] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [09:00:00 29/09/2017] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 29/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 29/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [09:00:00 29/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [09:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 260 u1: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 29/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: Hoyer st: NotStopd t0: [09:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 29/09/2017] id: Press Sore Site #2 el: 0 cu: MICU cg: RN v1: Heel, Left st: NotStopd t0: [09:00:00 29/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [09:00:00 29/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 29/09/2017] id: PressSoreTreatment#3 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 29/09/2017] id: Pressure Sore Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 29/09/2017] id: Pressure Sore Site#3 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [09:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 29/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 29/09/2017] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [09:00:00 29/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 29/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [09:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 29/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [09:00:00 29/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 29/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 29/09/2017] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [09:00:00 29/09/2017] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 29/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 60 vu: ml t0: [08:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml t0: [09:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [10:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [10:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 29/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 82 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [10:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [11:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 29/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [11:00:00 29/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 44.6667 u1: mmHg st: NotStopd t0: [11:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [11:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [11:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 29/09/2017] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [11:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml t0: [11:00:00 29/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 228 vo: 30 vu: ml t0: [11:00:00 29/09/2017] id: Respalor Tube Feeding el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [11:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [23:00:00 29/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 90 ap: none
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [11:00:00 29/09/2017] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 31 st: NotStopd t0: [11:00:00 29/09/2017] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [11:00:00 29/09/2017] id: HIGH MINUTE VENT. el: 0 cu: MICU cg: RRT v1: 14 t0: [11:00:00 29/09/2017] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [11:00:00 29/09/2017] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [11:00:00 29/09/2017] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [11:00:00 29/09/2017] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 29/09/2017] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [11:00:00 29/09/2017] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 18 st: NotStopd t0: [11:00:00 29/09/2017] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 0.5 st: NotStopd t0: [11:00:00 29/09/2017] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:00:00 29/09/2017] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [11:00:00 29/09/2017] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 29/09/2017] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [11:00:00 29/09/2017] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [11:00:00 29/09/2017] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [11:00:00 29/09/2017] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 29/09/2017] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 515 u1: ml/B st: NotStopd t0: [11:00:00 29/09/2017] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 29/09/2017] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [11:00:00 29/09/2017] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 29/09/2017] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [11:00:00 29/09/2017] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 29/09/2017] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 29/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [12:00:00 29/09/2017] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 29/09/2017] id: INV#2 Dsg Change el: 0 cu: MICU cg: -1 st: D/C'd
t0: [04:39:00 29/09/2017] id: Cyclosporin Drug Level el: 0 cu: MICU cg: 1663 v1: 253 rs: Final st: NotStopd
t0: [09:00:00 29/09/2017] tf: [12:00:00 29/09/2017] dt: 180 id: INV Line#2 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 29/09/2017] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 29/09/2017] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/09/2017] id: Communication el: 0 cu: MICU cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 29/09/2017] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/09/2017] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 29/09/2017] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/09/2017] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/09/2017] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 29/09/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/09/2017] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/09/2017] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/09/2017] id: Alarms el: 0 cu: MICU cg: RN v1: ON st: NotStopd t0: [12:00:00 29/09/2017] id: Parameters Checked el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/09/2017] id: GI#1 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 29/09/2017] id: GI#2 Intub Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 29/09/2017] id: Health Care Proxy el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/09/2017] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/09/2017] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 29/09/2017] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 29/09/2017] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 29/09/2017] id: GI Intub #2/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 29/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 29/09/2017] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [12:00:00 29/09/2017] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 29/09/2017] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 29/09/2017] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 29/09/2017] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 29/09/2017] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/09/2017] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 29/09/2017] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/09/2017] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 29/09/2017] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/09/2017] id: NBP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/09/2017] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 29/09/2017] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med st: NotStopd t0: [12:00:00 29/09/2017] id: Pain Type el: 0 cu: MICU cg: RN v1: Aching st: NotStopd t0: [12:00:00 29/09/2017] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 29/09/2017] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 29/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 60 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 29/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 29/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 7 u1: BPM v2: 30 u2: BPM st: NotStopd t0: [12:00:00 29/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 29/09/2017] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 29/09/2017] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/09/2017] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 29/09/2017] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/09/2017] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [12:00:00 29/09/2017] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/09/2017] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 29/09/2017] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 29/09/2017] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 29/09/2017] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 29/09/2017] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 29/09/2017] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 29/09/2017] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 29/09/2017] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 29/09/2017] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/09/2017] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/09/2017] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/09/2017] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [13:00:00 29/09/2017] id: Education Topic #1 el: 0 cu: MICU cg: RN v1: Plan of Care st: NotStopd t0: [13:00:00 29/09/2017] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 29/09/2017] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [13:00:00 29/09/2017] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [13:00:00 29/09/2017] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 29/09/2017] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 29/09/2017] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 29/09/2017] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 29/09/2017] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [13:00:00 29/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU cg: RN v1: Right Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 29/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU cg: RN v1: Left Leg v2: Other/Remarks st: NotStopd t0: [13:00:00 29/09/2017] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 29/09/2017] id: Assistance Device el: 0 cu: MICU cg: RN v1: Hoyer st: NotStopd t0: [13:00:00 29/09/2017] id: INV#1 Dsg Change el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [13:00:00 29/09/2017] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 29/09/2017] id: ROM el: 0 cu: MICU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [13:00:00 29/09/2017] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 29/09/2017] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 29/09/2017] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 29/09/2017] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [13:00:00 29/09/2017] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 29/09/2017] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 29/09/2017] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [13:00:00 29/09/2017] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 29/09/2017] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [11:00:00 29/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 105 vo: 350 vu: ml