This log is also available as text (s07468.txt) and as a (binary) annotation file (s07468.log).
Generated: Monday, 07-Jun-2010 13:20:25 EDT
(All dates below are surrogates.)
t0: [20:29:03 29/12/2009] tf: [20:03:00 02/01/2010] id: a41434 [view]
t0: [02:04:59 29/12/2009] tf: [20:01:59 02/01/2010] id: a41434n [view]
dd: 2720 ds: 2 ld: PURE HYPERCHOLESTEROLEM dd: 4660 ds: 1 ld: ACUTE BRONCHITIS
dd: 2722 ds: 2 ld: MIXED HYPERLIPIDEMIA dd: 4659 ds: 1 ld: ACUTE URI NOS
dd: 71945 ds: 1 ld: JOINT PAIN-PELVIS
dd: 78900 ds: 1 ld: ABDOMIN PAIN UNSPEC SITE
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM
dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 71690 ds: 2 ld: ARTHROPATHY NOS-UNSPEC
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM
dd: 4659 ds: 1 ld: ACUTE URI NOS
dd: 5718 ds: 2 ld: CHRONIC LIVER DIS NEC dd: 7948 ds: 1 ld: ABN LIVER FUNCTION STUDY
dd: 5733 ds: 1 ld: HEPATITIS NOS
dd: 4011 ds: 1 ld: BENIGN HYPERTENSION
dd: 2761 ds: 5 ld: HYPOSMOLALITY dd: 2859 ds: 7 ld: ANEMIA NOS dd: 3229 ds: 4 ld: MENINGITIS NOS dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 41041 ds: 3 ld: AMI OTHER INFER WALL INI dd: 431 ds: 2 ld: INTRACEREBRAL HEMORRHAGE dd: 51882 ds: 1 ld: OTHER PULMONARY INSUFF N dd: V1042 ds: 8 ld: HX-UTERUS MALIGNANCY NEC
id: Nitroglycerine-k el: 100 cu: MICU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: MICU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
tf: [19:15:00 07/09/2012] dt: 10121 cu: MICU di: No Disch Status
id: D5W el: 1 cu: MICU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [18:00:00 31/08/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [18:00:00 31/08/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 31/08/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 31/08/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/08/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 31/08/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 31/08/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: Other/Remarks st: NotStopd t0: [18:00:00 31/08/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:30:00 31/08/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:30:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:30:00 31/08/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [18:30:00 31/08/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 31/08/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [18:30:00 31/08/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [18:30:00 31/08/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [18:30:00 31/08/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:30:00 31/08/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [18:30:00 31/08/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:30:00 31/08/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 31/08/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 31/08/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [18:30:00 31/08/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:30:00 31/08/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [18:30:00 31/08/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [18:30:00 31/08/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:30:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:30:00 31/08/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 31/08/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:30:00 31/08/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [18:30:00 31/08/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 31/08/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:30:00 31/08/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [18:30:00 31/08/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [18:30:00 31/08/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [18:30:00 31/08/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [18:30:00 31/08/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [18:30:00 31/08/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:30:00 31/08/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:30:00 31/08/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:30:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [18:30:00 31/08/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [18:30:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:30:00 31/08/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:30:00 31/08/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:30:00 31/08/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:30:00 31/08/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:30:00 31/08/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [18:30:00 31/08/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [18:30:00 31/08/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [18:30:00 31/08/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [18:30:00 31/08/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [18:30:00 31/08/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:30:00 31/08/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:30:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:30:00 31/08/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:30:00 31/08/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 31/08/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:30:00 31/08/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [18:30:00 31/08/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [18:30:00 31/08/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [18:30:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 31/08/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [18:30:00 31/08/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [18:30:00 31/08/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:30:00 31/08/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [18:30:00 31/08/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [18:30:00 31/08/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:30:00 31/08/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:30:00 31/08/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:30:00 31/08/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [18:30:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 31/08/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:30:00 31/08/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [18:30:00 31/08/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [18:30:00 31/08/2012] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [18:30:00 31/08/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:30:00 31/08/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:30:00 31/08/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [18:30:00 31/08/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Clay v2: Loose st: NotStopd t0: [18:30:00 31/08/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd
t0: [19:10:00 31/08/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [19:10:00 31/08/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 23.7 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 23.7 rs: Final st: NotStopd
t0: [19:51:00 31/08/2012] id: BSA el: 1033 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 72.3 u1: kg t0: [19:51:00 31/08/2012] id: Allergy 1 el: 1020 cu: MICU cg: -1 v1: No Known Drug Allergies t0: [19:51:00 31/08/2012] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: S/P HEAD BLEED t0: [19:51:00 31/08/2012] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [19:51:00 31/08/2012] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: Readmission el: 1014 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [19:51:00 31/08/2012] id: Religion el: 1000 cu: MICU cg: -1 v1: NSP t0: [19:51:00 31/08/2012] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: Ext el: 1010 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: PIN el: 1012 cu: MICU cg: -1 t0: [19:51:00 31/08/2012] id: Allergy 3 el: 1022 cu: MICU cg: -1 t0: [20:00:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 31/08/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/08/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 184 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [20:00:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [20:00:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:10:00 31/08/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [19:00:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 169 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [19:00:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 153 u1: mmHg st: NotStopd t0: [19:00:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:30:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:30:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 178 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [19:30:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [19:30:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:30:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:30:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:45:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:45:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:45:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 182 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [19:45:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [19:45:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:45:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:45:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 31/08/2012] tf: [00:00:00 01/09/2012] dt: 300 id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 3.22729 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 3.50392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:45:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.14938 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.61042 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/08/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 31/08/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [20:00:00 31/08/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd
t0: [20:00:00 31/08/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 31/08/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/08/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 31/08/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/08/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/08/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/08/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 31/08/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 31/08/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 31/08/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 31/08/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 31/08/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 31/08/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 31/08/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 31/08/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 31/08/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 31/08/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/08/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Coffee Ground st: NotStopd t0: [20:00:00 31/08/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 31/08/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 31/08/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 31/08/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/08/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 31/08/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/08/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/08/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 31/08/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/08/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: Other/Remarks st: NotStopd t0: [20:00:00 31/08/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 31/08/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/08/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 31/08/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/08/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 31/08/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 31/08/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 31/08/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/08/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 31/08/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/08/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 31/08/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/08/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 31/08/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 31/08/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 31/08/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/08/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 31/08/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/08/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 31/08/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/08/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/08/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/08/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 31/08/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 31/08/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 31/08/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 31/08/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/08/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 31/08/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 31/08/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 31/08/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 31/08/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/08/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 31/08/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 31/08/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/08/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/08/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/08/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 31/08/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 31/08/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 31/08/2012] tf: [19:15:00 07/09/2012] dt: 10035 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 600 vu: ml
t0: [20:00:00 31/08/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 31/08/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd
io: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 75 ru: ml/hr
id: D5W el: 1 cu: MICU cg: RN io: D5W 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [20:00:00 31/08/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 31/08/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [20:00:00 31/08/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 31/08/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6.9 st: NotStopd t0: [20:00:00 31/08/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 31/08/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 31/08/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 31/08/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [20:00:00 31/08/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 31/08/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [20:00:00 31/08/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [20:00:00 31/08/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 31/08/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 31/08/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Clear v2: Thin st: NotStopd t0: [20:00:00 31/08/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 31/08/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [20:00:00 31/08/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 31/08/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [20:00:00 31/08/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 31/08/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 31/08/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/08/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 31/08/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 31/08/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [21:00:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [21:00:00 31/08/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 31/08/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/08/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 31/08/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 31/08/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [22:00:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 31/08/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 31/08/2012] tf: [00:00:00 01/09/2012] dt: 240 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 35 vu: ml t0: [22:00:00 31/08/2012] tf: [02:00:00 05/09/2012] dt: 6000 id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vu: ml nb: 1 t0: [22:00:00 31/08/2012] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 31/08/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [22:00:00 31/08/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [21:00:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.61042 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.61042 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/08/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 31/08/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 31/08/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 285 ap: none t0: [23:00:00 31/08/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 285 ap: none t0: [23:00:00 31/08/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 680 ap: none t0: [23:00:00 31/08/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -395 ap: none t0: [23:00:00 31/08/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 680 ap: none t0: [23:00:00 31/08/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: -395 ap: none
t0: [22:00:00 31/08/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 31/08/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/08/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 31/08/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 31/08/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 31/08/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [22:00:00 31/08/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 31/08/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [22:00:00 31/08/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [22:00:00 31/08/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 31/08/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 31/08/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 31/08/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 31/08/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [22:00:00 31/08/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 31/08/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 31/08/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/08/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 31/08/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 31/08/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 31/08/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 31/08/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 31/08/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/08/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [22:00:00 31/08/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 31/08/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 31/08/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 31/08/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 31/08/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [22:00:00 31/08/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 31/08/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [19:10:00 31/08/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 5.9 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 77.9 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 296 rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.92 u1: /mic l rs: Final st: NotStopd t0: [19:10:00 31/08/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd
t0: [23:00:00 31/08/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 31/08/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/08/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 31/08/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [23:00:00 31/08/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [23:00:00 31/08/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 31/08/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 31/08/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 31/08/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [23:00:00 31/08/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [23:00:00 31/08/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 31/08/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 31/08/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 31/08/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 31/08/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [23:00:00 31/08/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [23:00:00 31/08/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [23:00:00 31/08/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [23:00:00 31/08/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 31/08/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 170 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [23:00:00 31/08/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [23:00:00 31/08/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/08/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 31/08/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [23:00:00 31/08/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [23:00:00 31/08/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [23:00:00 31/08/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [23:00:00 31/08/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 31/08/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [23:00:00 31/08/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 31/08/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 31/08/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 01/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 01/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 01/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [00:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 01/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 01/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 01/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [00:00:00 01/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 01/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 01/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 01/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 01/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 01/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Clay v2: Loose st: NotStopd t0: [00:00:00 01/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [00:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [00:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [00:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 31/08/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.61042 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/08/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 31/08/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [23:00:00 31/08/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 31/08/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 31/08/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [23:00:00 31/08/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 31/08/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 31/08/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 31/08/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 01/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 01/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: Other/Remarks st: NotStopd t0: [00:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 01/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [00:00:00 01/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 01/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 01/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 01/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd
t0: [00:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [00:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6.9 st: NotStopd t0: [00:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [00:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [00:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 01/09/2012] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 0 u1: L/m st: NotStopd t0: [00:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [00:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 31/08/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [01:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [01:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [01:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [01:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [01:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [01:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [01:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [01:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [01:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [01:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [01:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [01:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [01:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 01/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 01/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/09/2012] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml st: Stopped t0: [01:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [01:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [01:00:00 01/09/2012] tf: [04:00:00 01/09/2012] dt: 180 id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4.61042 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [01:00:00 01/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [02:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [02:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [02:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [02:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [02:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 165 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [02:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [02:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [02:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/09/2012] tf: [19:15:00 07/09/2012] dt: 9675 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [02:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [02:00:00 01/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.922084 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 01/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 95 cv: 95 ap: none t0: [23:00:00 01/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 75 cv: 2075 ap: none t0: [23:00:00 01/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 2285 ap: none t0: [23:00:00 01/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1435 ap: none t0: [23:00:00 01/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 850 ap: none t0: [23:00:00 01/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1435 ap: none t0: [23:00:00 01/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 455 ap: none
t0: [03:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [03:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [03:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [03:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [04:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [04:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.922084 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.922084 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [04:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [04:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [04:52:00 01/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [04:52:00 01/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:52:00 01/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:52:00 01/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [04:52:00 01/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [04:52:00 01/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [04:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [04:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [05:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [05:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [03:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [03:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [03:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [03:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [03:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [03:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [03:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [03:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [03:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 01/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 01/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 01/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 01/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 01/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 01/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 01/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Clay v2: Loose st: NotStopd t0: [04:00:00 01/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [05:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [05:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [04:00:00 01/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 01/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 01/09/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 6 st: NotStopd t0: [04:00:00 01/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: Other/Remarks st: NotStopd t0: [04:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 01/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [04:00:00 01/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [04:00:00 01/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 01/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 01/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 01/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [05:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [05:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [05:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [05:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [05:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [05:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [05:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:30:00 01/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 287 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.72 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd
t0: [05:25:00 01/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [05:25:00 01/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:25:00 01/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:25:00 01/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:25:00 01/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [05:25:00 01/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [04:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [04:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6.9 st: NotStopd t0: [04:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [04:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [04:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [04:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:30:00 01/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:30:00 01/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [06:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [06:00:00 01/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [06:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [06:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [06:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [06:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [06:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [06:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [06:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 01/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [06:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [06:00:00 01/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 01/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [06:00:00 01/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 01/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [06:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [06:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [06:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [08:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [08:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [08:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [08:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 01/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 01/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 01/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 01/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 492 u1: ml/B st: NotStopd t0: [08:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [08:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 165 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [08:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [08:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [08:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [08:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [08:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [09:00:00 01/09/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 01/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 01/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 01/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: Other/Remarks st: NotStopd t0: [08:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 01/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 01/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [08:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 166 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [09:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [09:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [10:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [10:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [10:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [10:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [10:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [10:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [10:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [10:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [10:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [09:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [10:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [10:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [10:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 60 u1: BPM st: NotStopd t0: [10:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [12:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [12:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [12:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [12:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [12:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 463 u1: ml/B st: NotStopd t0: [12:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [12:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 01/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 01/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
io: Promote Tube Feeding el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr
id: Promote el: 1 cu: MICU cg: RN io: Promote Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [11:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [11:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [11:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [12:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [12:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 01/09/2012] tf: [15:01:00 02/09/2012] dt: 1861 id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [11:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [12:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [12:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 01/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 01/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 01/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [12:00:00 01/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [14:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [14:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [14:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [14:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [14:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [14:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [14:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [14:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [14:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [14:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [14:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [14:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [14:00:00 01/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [14:00:00 01/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [14:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [14:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: MRI st: NotStopd t0: [14:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd
t0: [13:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [13:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [14:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [14:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [14:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [14:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [14:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [14:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [14:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [14:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [14:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [15:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [15:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [15:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
io: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ra: 20 ru: ml/hr
id: TF Residual el: 1 cu: MICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [16:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [16:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [16:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [16:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [16:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [16:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [16:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [16:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [06:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 01/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [12:00:00 01/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 01/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 01/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 01/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 01/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [16:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 01/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 01/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 01/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 01/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [16:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 01/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 01/09/2012] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd t0: [14:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [17:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [17:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [17:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [17:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [17:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [17:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [17:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [17:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [17:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [17:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [17:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 468 u1: ml/B st: NotStopd t0: [17:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [17:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [17:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 01/09/2012] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd
t0: [18:00:00 01/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: RN v1: 122 rs: Manual st: NotStopd t0: [18:00:00 01/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [18:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 185 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [18:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [18:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [18:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [18:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 01/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [19:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 01/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [19:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [19:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 169 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [19:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [19:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/09/2012] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [19:00:00 01/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 01/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 01/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [19:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/09/2012] tf: [12:00:00 03/09/2012] dt: 2520 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [18:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [18:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [19:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [20:00:00 01/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 59 u1: BPM st: NotStopd t0: [20:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 01/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 01/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 01/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 01/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [19:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [21:00:00 01/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [21:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 01/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [21:00:00 01/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 01/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [21:00:00 01/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 01/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 01/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 01/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [21:00:00 01/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [21:00:00 01/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [21:00:00 01/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 01/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [21:00:00 01/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 01/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [21:00:00 01/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 01/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 01/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 01/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [21:00:00 01/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 01/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 01/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 01/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 01/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 01/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 01/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 01/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 01/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 01/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 01/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub st: NotStopd t0: [20:00:00 01/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 01/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 01/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 01/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 01/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [21:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [21:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [22:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [22:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml t0: [21:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [22:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [22:00:00 01/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [22:00:00 01/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 01/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [22:00:00 01/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [23:00:00 01/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 01/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 01/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 01/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 01/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [23:00:00 01/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [23:00:00 01/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 01/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [00:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 165 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [00:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [21:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [22:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 01/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [23:00:00 01/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [00:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [23:00:00 01/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 20 cv: 210 ap: none
t0: [01:00:00 02/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [01:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [01:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 02/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [01:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [01:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [01:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [01:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 02/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [01:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 02/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 02/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 02/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [01:00:00 02/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [01:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 02/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 21cm v2: Lip st: NotStopd
t0: [23:00:00 01/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd
t0: [01:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 160 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [01:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [01:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [02:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [02:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [02:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [02:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [23:00:00 02/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 02/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 1020 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 120 cv: 1950 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 810 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 70 cv: 1820 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 50 cv: -120 ap: none t0: [23:00:00 02/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 70 cv: 2070 ap: none t0: [23:00:00 02/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 50 cv: 335 ap: none
t0: [04:00:00 02/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 02/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [04:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [04:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [04:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 02/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 02/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 02/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 02/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 02/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [04:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 02/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [02:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [03:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [03:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 167 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [03:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/09/2012] tf: [19:15:00 07/09/2012] dt: 8295 id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0922084 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.184417 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.276625 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [04:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [04:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [04:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [05:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [05:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [05:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [03:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml t0: [04:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [04:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [05:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [05:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [04:00:00 02/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.276625 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/09/2012] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.276625 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 02/09/2012] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [00:00:00 02/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [00:00:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Posturing st: NotStopd t0: [00:00:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [00:00:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [00:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 02/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 02/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 02/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd t0: [04:00:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 02/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Posturing st: NotStopd t0: [04:00:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [04:00:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [04:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 02/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [05:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd
t0: [05:30:00 02/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 304 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.93 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd
t0: [00:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [00:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [06:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 02/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:30:00 02/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd
id: Gastric Meds el: 1 cu: MICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [08:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [08:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 173 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [08:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [08:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [08:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [08:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 225 vu: ml t0: [08:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [08:00:00 02/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 02/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/09/2012] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Negative v2: 7 st: NotStopd t0: [08:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 02/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 02/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [08:00:00 02/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [08:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [08:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [08:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 02/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 02/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 488 u1: ml/B st: NotStopd t0: [08:00:00 02/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [08:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 02/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 02/09/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [09:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [09:00:00 02/09/2012] tf: [19:15:00 07/09/2012] dt: 7815 id: Stool Out Rectal Tube el: 1 cu: MICU cg: RN vo: 250 vu: ml t0: [09:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 02/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 250 ap: none
t0: [10:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [10:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [10:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [10:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [11:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [11:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [10:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [11:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [11:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml
t0: [08:00:00 02/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [12:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [12:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [12:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 02/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 02/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 647 u1: ml/B st: NotStopd t0: [12:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [11:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [11:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [11:30:00 02/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [11:30:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 02/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [11:30:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [11:30:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [11:30:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [11:30:00 02/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [11:30:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [11:30:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:30:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [11:30:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [11:30:00 02/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [11:30:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [11:30:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [11:30:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [11:30:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [11:30:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:30:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:30:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [11:30:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:30:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [11:30:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [11:30:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:30:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [11:30:00 02/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [11:30:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:30:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [11:30:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [11:30:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [11:30:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [11:30:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:30:00 02/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [11:30:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [11:30:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [11:30:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [11:30:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Frothy st: NotStopd t0: [11:30:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:30:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [11:30:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Rectal Tube st: NotStopd t0: [11:30:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:30:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:30:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:30:00 02/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 02/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [12:00:00 02/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 02/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 02/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [12:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [12:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [11:30:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [11:30:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [12:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml t0: [12:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [11:30:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 48 u1: BPM st: NotStopd t0: [11:30:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:30:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [11:30:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 02/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [11:30:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:14:00 02/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [12:14:00 02/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [12:14:00 02/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [12:14:00 02/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [12:14:00 02/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [12:14:00 02/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [12:30:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:30:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:30:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:30:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:30:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:30:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:30:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [12:30:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:30:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:30:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [12:30:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:30:00 02/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:30:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:30:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:30:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:30:00 02/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 454 u1: ml/B st: NotStopd t0: [12:30:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [13:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
io: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ra: 50 ru: ml/hr
id: Promote w/fiber el: 1 cu: MICU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [13:30:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:30:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [13:30:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:30:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 02/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd t0: [13:30:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:30:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [14:30:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 160 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [14:30:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:30:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:30:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [14:30:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [14:30:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 02/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 02/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 02/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [15:00:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [15:00:00 02/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [15:00:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 02/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 02/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [15:00:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [15:00:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [15:00:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 02/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:00:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [15:00:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [15:00:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [15:00:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Rectal Tube st: NotStopd t0: [15:00:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [15:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 02/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vu: ml nb: 1 t0: [15:00:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: RN ai: 107 vo: 80 vu: ml t0: [15:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [14:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [14:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [15:00:00 02/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [15:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 02/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [15:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [15:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 02/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [15:00:00 02/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 02/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [15:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 02/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd
t0: [15:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 167 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [15:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [15:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:01:00 02/09/2012] id: Promote Tube Feeding el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [16:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [16:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [16:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [16:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 02/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 02/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 428 u1: ml/B st: NotStopd t0: [16:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:25:00 02/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [16:25:00 02/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:25:00 02/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [16:25:00 02/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [16:25:00 02/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [16:25:00 02/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [17:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [17:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [17:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [17:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [17:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [17:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 02/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [17:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [17:00:00 02/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 447 u1: ml/B st: NotStopd t0: [17:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [17:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 02/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [17:00:00 02/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [17:00:00 02/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [17:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [17:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [17:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [18:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [18:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [18:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 30 vu: ml t0: [18:00:00 02/09/2012] tf: [20:00:00 04/09/2012] dt: 3000 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 150 vu: ml t0: [18:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [17:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 02/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 145 rs: Manual st: NotStopd t0: [19:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [19:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [19:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:40:00 02/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [18:40:00 02/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:40:00 02/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [18:40:00 02/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 02/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 02/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [20:00:00 02/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 02/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 02/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 02/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 02/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 02/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 02/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [20:00:00 02/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 02/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 02/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 02/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 02/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [20:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [20:00:00 02/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 02/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 02/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 02/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 02/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 02/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 02/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 02/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 02/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 02/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 02/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 02/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 02/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 02/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd
t0: [20:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 02/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 100 vu: ml t0: [20:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [20:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [20:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd
t0: [20:00:00 02/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 02/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 02/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 02/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 02/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 02/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 02/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 02/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [20:00:00 02/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 02/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 02/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:00:00 02/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 02/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 02/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 02/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:00:00 02/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 02/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [20:00:00 02/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 02/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 02/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 02/09/2012] tf: [19:15:00 07/09/2012] dt: 7155 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [20:00:00 02/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 02/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [21:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 02/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [21:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 430 vu: ml
t0: [22:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [22:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 02/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [22:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 02/09/2012] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 02/09/2012] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 02/09/2012] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 02/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 02/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [22:00:00 02/09/2012] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [22:00:00 02/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [22:00:00 02/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 02/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 02/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 02/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [22:00:00 02/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [22:00:00 02/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 02/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 02/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 02/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 02/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 02/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 02/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [23:00:00 02/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 02/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [23:00:00 02/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 02/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 02/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [23:00:00 02/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 02/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 02/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 02/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 02/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 02/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 02/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [23:00:00 02/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [23:00:00 02/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 02/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [23:00:00 02/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 02/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [23:00:00 02/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [23:00:00 02/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN pv: 60 cv: 120 ap: none
t0: [00:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [00:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [00:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 03/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [00:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [01:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [01:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [02:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [02:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [02:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [02:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [23:00:00 03/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 03/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 540 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 70 cv: 2140 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 220 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1380 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 70 cv: 1470 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 0 cv: 415 ap: none t0: [23:00:00 03/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 70 cv: 1725 ap: none t0: [23:00:00 03/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 0 cv: 750 ap: none
t0: [04:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [04:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [04:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [04:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 02/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 03/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 03/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 03/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd t0: [02:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [02:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [02:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 03/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [02:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [03:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [04:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [05:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [04:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [05:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml
t0: [03:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [04:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [05:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [05:00:00 03/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33 u1: % rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 310 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.77 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd
t0: [05:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1667 u1: Deg. C st: NotStopd t0: [05:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.5 u1: Deg. F st: NotStopd
t0: [06:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml
t0: [05:00:00 03/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [05:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [06:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [06:00:00 03/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [06:00:00 03/09/2012] id: Stool Out Rectal Tube el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [06:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 03/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 03/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [06:00:00 03/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 106.061 u1: units st: NotStopd t0: [06:00:00 03/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 106.061 u1: units st: NotStopd t0: [06:00:00 03/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 03/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.33 u1: L st: NotStopd t0: [06:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [07:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 03/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 03/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [08:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 03/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 03/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 03/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [08:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [08:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [08:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [08:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [08:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 03/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 376 u1: ml/B st: NotStopd t0: [08:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 03/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [08:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 03/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [09:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [09:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [09:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [09:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [09:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [09:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [10:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [10:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [10:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [11:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/09/2012] id: Stool Out Rectal Tube el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [11:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [11:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [12:00:00 03/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [12:00:00 03/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 03/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 03/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [12:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [12:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [12:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [12:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 03/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [12:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [12:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [12:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [12:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 03/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [12:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 03/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 03/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 412 u1: ml/B st: NotStopd t0: [12:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 160 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [13:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [13:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 167 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [14:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [14:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [14:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [14:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [14:00:00 03/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [14:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [14:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [14:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [14:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [14:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [15:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [15:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [15:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [15:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [15:00:00 03/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [16:00:00 03/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [16:00:00 03/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 03/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [16:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [16:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [16:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 03/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 03/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 03/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [16:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [16:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [16:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [16:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 03/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [16:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [16:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [16:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [17:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [17:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [17:00:00 03/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 03/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [18:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [18:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [18:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 03/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 03/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [18:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 03/09/2012] id: Stool Out Rectal Tube el: 1 cu: MICU cg: RN vo: 25 vu: ml t0: [18:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [18:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [23:00:00 03/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 255 ap: none
t0: [19:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [19:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [19:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 03/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 03/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 03/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 03/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 03/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 03/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 03/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [20:00:00 03/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 03/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 03/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 03/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 03/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [20:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 03/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 03/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 03/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 03/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 03/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 03/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 03/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 03/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 03/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 03/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 03/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 03/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 03/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 03/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 03/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 03/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 03/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [19:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [20:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [20:00:00 03/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 03/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 03/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 03/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 03/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 03/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 03/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 03/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [20:00:00 03/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 03/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 03/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [20:00:00 03/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 03/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:00:00 03/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 03/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 03/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [20:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [20:00:00 03/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [20:00:00 03/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 03/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [21:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [21:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [21:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [22:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [22:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [22:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [22:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 03/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 03/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 03/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:00:00 03/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [23:00:00 03/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 03/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 03/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 03/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [23:00:00 03/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [23:00:00 03/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 03/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [23:00:00 03/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [00:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [00:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [00:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [00:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 38 vu: ml
t0: [00:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [00:00:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [00:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [00:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [00:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [01:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [02:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [02:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 04/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 185 cv: 185 ap: none t0: [23:00:00 04/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 25 cv: 25 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 210 cv: 1040 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 210 cv: 2420 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 1260 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 185 cv: 1623 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 25 cv: 762 ap: none t0: [23:00:00 04/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 185 cv: 1658 ap: none t0: [23:00:00 04/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 25 cv: 1512 ap: none
t0: [02:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [02:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [04:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [04:00:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [04:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [04:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [03:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [04:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [04:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [04:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [03:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [04:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [04:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [22:00:00 03/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 03/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 03/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 03/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 03/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 03/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 03/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [00:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [00:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [00:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 04/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 04/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 04/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 04/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [04:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [04:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [04:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 04/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [04:00:00 04/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [05:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [05:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [06:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [06:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [06:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [06:00:00 04/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 113.333 u1: units st: NotStopd t0: [06:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [06:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [06:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [06:00:00 04/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 113.333 u1: units st: NotStopd t0: [06:00:00 04/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [06:00:00 04/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.3 u1: L st: NotStopd t0: [06:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 04/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.8 u1: % rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 351 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd
t0: [05:00:00 04/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [07:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [07:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [07:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [08:00:00 04/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 04/09/2012] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [08:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [08:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [08:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [08:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 04/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 04/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 04/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [08:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [08:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 04/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 04/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [08:00:00 04/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 04/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [08:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [08:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [08:00:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [08:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [08:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [09:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [09:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [10:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [10:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [10:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [10:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [10:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [11:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [11:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [11:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [11:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [12:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [12:00:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.76 u1: L/min st: NotStopd t0: [12:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [12:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: CoWkr vo: 100 vu: ml
t0: [12:00:00 04/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [12:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 04/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [12:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [12:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [12:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [12:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Pan Cultured st: NotStopd t0: [12:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 04/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 04/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [13:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [13:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/09/2012] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [13:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 166 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [14:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [14:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [14:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [14:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/09/2012] id: Stool Out Rectal Tube el: 1 cu: MICU cg: RN vo: 35 vu: ml t0: [13:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [13:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml t0: [14:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [23:00:00 04/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 35 ap: none
t0: [14:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 04/09/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 45 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 340 rs: Final st: NotStopd t0: [05:00:00 04/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd
t0: [15:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [15:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [15:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [13:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [14:00:00 04/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [15:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [15:30:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:30:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:30:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:30:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:30:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:30:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [15:30:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [15:30:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [15:30:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:30:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.33 u1: L/min st: NotStopd t0: [15:30:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:30:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [15:30:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:30:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:30:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [15:30:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:30:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 04/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 04/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 04/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [14:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [14:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [15:00:00 04/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [16:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [16:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [16:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [16:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [16:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 04/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 04/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 04/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [16:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [16:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 04/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 04/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 04/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 04/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [16:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [16:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [17:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [17:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [17:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [18:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [18:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [17:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [18:00:00 04/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [18:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 04/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [16:00:00 04/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 04/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [18:00:00 04/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 109.434 u1: units st: NotStopd t0: [18:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [18:00:00 04/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 04/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [18:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 04/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [18:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [18:00:00 04/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [18:00:00 04/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [18:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.43 u1: L/min st: NotStopd t0: [18:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:00:00 04/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 109.434 u1: units st: NotStopd t0: [18:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [18:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [18:00:00 04/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [18:00:00 04/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.265 u1: L st: NotStopd t0: [18:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [18:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 04/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 265 u1: ml/B st: NotStopd t0: [18:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [19:00:00 04/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [19:00:00 04/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [19:00:00 04/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:00:00 04/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:00:00 04/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 1 st: NotStopd t0: [19:00:00 04/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.96 u1: L/min st: NotStopd t0: [19:00:00 04/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:00:00 04/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:00:00 04/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [19:00:00 04/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [19:00:00 04/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [19:00:00 04/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:00:00 04/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:00:00 04/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [19:00:00 04/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [19:00:00 04/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [19:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 174 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [19:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [19:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [19:00:00 04/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Chest Pain st: NotStopd t0: [19:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:15:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [19:15:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:15:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:15:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [19:15:00 04/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [19:15:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [19:15:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:15:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [19:30:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:30:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:30:00 04/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [19:30:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [19:30:00 04/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Chest Pain st: NotStopd t0: [19:30:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:30:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 04/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [19:00:00 04/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Chest Pain st: NotStopd t0: [20:00:00 04/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 04/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 04/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 04/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 04/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/09/2012] id: Extubation Date el: 0 cu: MICU cg: RN v1: 9 v2: 9 st: NotStopd t0: [20:00:00 04/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 04/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 04/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 04/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 04/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 04/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 04/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 04/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [20:00:00 04/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 04/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 04/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 04/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [20:00:00 04/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 04/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 04/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 04/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/09/2012] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 04/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 04/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 04/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 04/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 04/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 04/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Restraint DC'd st: NotStopd t0: [20:00:00 04/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Extubated st: NotStopd t0: [20:00:00 04/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 04/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 04/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 04/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 04/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 04/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 04/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 04/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [20:00:00 04/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [20:00:00 04/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 04/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 04/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 04/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 04/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml st: Stopped t0: [20:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 165 vu: ml
t0: [20:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [20:00:00 04/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Nasal Cannula st: NotStopd
t0: [21:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [21:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 105 vu: ml
t0: [21:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [22:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 04/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [23:00:00 04/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 04/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 04/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 04/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [23:00:00 04/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [23:00:00 04/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 04/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 04/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [23:00:00 04/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 04/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 185 vu: ml
t0: [00:00:00 05/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 05/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 05/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 05/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 05/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 05/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 05/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 05/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 05/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [00:00:00 05/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 05/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 05/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 05/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 05/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [00:00:00 05/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 05/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 05/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 05/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 05/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 05/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 05/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 05/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 05/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 05/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 05/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 05/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 05/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 05/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [01:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [01:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [01:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [01:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [01:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [02:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [02:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [23:00:00 05/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 05/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1800 ap: none t0: [23:00:00 05/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1800 ap: none
t0: [02:00:00 05/09/2012] id: IV #1 Reason DC'D el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 05/09/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 10 st: NotStopd t0: [02:00:00 05/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 7 st: NotStopd t0: [02:00:00 05/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [02:00:00 05/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Drainage st: NotStopd
t0: [02:00:00 05/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml st: Stopped
t0: [23:00:00 05/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 05/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 430 ap: none t0: [23:00:00 05/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 530 ap: none t0: [23:00:00 05/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -1270 ap: none t0: [23:00:00 05/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 242 ap: none
t0: [03:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [03:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [03:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/09/2012] id: IV #1 Reason DC'D el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 05/09/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 05/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 05/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 05/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [03:00:00 05/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 05/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 05/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 05/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 05/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 05/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 05/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 05/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 05/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 05/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 05/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 05/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 05/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 05/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 05/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 05/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 05/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 05/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [04:00:00 05/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 05/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [04:00:00 05/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [04:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 05/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 05/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 05/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 05/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 05/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 05/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 05/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 05/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 05/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 05/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 05/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 05/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [04:00:00 05/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 05/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [05:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 05/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 05/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [05:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [05:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 05/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 05/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 05/09/2012] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [04:15:00 05/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.8 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 16.8 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.1 u1: % rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.8 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 455 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.04 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.8 rs: Final st: NotStopd
t0: [04:15:00 05/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd
t0: [06:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [06:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [07:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [07:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [07:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [07:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:00:00 05/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [08:00:00 05/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [08:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 05/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 05/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [08:00:00 05/09/2012] id: Restraint Location el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 05/09/2012] id: Restraint Type el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 05/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 05/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 05/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 05/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 05/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 05/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 05/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 05/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 05/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 05/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 05/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 05/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 05/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 05/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 05/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 05/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 05/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 05/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 05/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 05/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 05/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 05/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 05/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 05/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 05/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 05/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 05/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 05/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 05/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [09:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [09:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [09:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [10:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [10:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 05/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [11:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [11:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 05/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 05/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 05/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 05/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 05/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 05/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 05/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 05/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 05/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 05/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 05/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 05/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 05/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [12:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [12:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 05/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 05/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 05/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 05/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 05/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 05/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 05/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 05/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 05/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [12:00:00 05/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [12:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 05/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 05/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [04:15:00 05/09/2012] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:15:00 05/09/2012] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 81 rs: Final st: NotStopd
t0: [13:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 166 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [13:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [13:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [14:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [15:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/09/2012] id: Readmit <48 hrs el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [15:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [16:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [16:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [17:00:00 05/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [17:00:00 05/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [17:00:00 05/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 05/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 05/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [17:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 05/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [17:00:00 05/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [17:00:00 05/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:00:00 05/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [17:00:00 05/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 05/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [17:00:00 05/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 05/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 05/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 05/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 05/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [17:00:00 05/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [17:00:00 05/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 05/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [17:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [17:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 05/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 05/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 05/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 05/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 05/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 05/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 05/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 05/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 05/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [17:00:00 05/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 05/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [17:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 05/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [17:00:00 05/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [17:00:00 05/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [17:00:00 05/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [17:00:00 05/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [17:00:00 05/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [17:00:00 05/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 05/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 05/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 05/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [17:00:00 05/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [18:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [18:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 05/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [18:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 05/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 05/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 05/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 05/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 05/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 05/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 05/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [18:00:00 05/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 05/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 05/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/09/2012] tf: [13:00:00 06/09/2012] dt: 1260 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [16:00:00 05/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 20 vu: ml t0: [17:00:00 05/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 20 vu: ml t0: [18:00:00 05/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 20 vu: ml t0: [18:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [19:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [19:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [19:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [20:00:00 05/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 05/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 40 vu: ml t0: [20:00:00 05/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [23:00:00 05/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [21:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [21:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [21:00:00 05/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [21:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [22:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 05/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [22:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 05/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 05/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [23:00:00 05/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 05/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 05/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 05/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 05/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94.3333 u1: mmHg st: NotStopd t0: [23:00:00 05/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 05/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 05/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 06/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 06/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 06/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [00:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 06/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 06/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 06/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 12 u1: points st: NotStopd t0: [00:00:00 06/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 06/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 95.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 06/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 06/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 06/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 06/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 06/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 06/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 06/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 80 vu: ml t0: [00:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 06/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 06/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 190 cv: 3940 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1180 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 180 cv: 2410 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 10 cv: 1530 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 180 cv: 2410 ap: none t0: [23:00:00 06/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 10 cv: 1772 ap: none
t0: [05:00:00 06/09/2012] id: INV#2Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 06/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [00:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 06/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [01:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [01:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 06/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [02:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 10 st: NotStopd t0: [02:00:00 06/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [02:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 06/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [02:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 06/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 06/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 06/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [02:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [03:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [03:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 06/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 06/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [04:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 06/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 06/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 06/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 13 u1: points st: NotStopd t0: [04:00:00 06/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 06/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [04:00:00 06/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 06/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 06/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 06/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Soft st: NotStopd t0: [04:00:00 06/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 06/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 06/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/09/2012] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 06/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 06/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 06/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 06/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [05:00:00 06/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 06/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [05:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 06/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [05:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [05:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [03:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 30 vu: ml t0: [04:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [04:00:00 06/09/2012] tf: [19:15:00 07/09/2012] dt: 2355 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 40 vu: ml t0: [04:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [05:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 40 vu: ml t0: [05:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [05:25:00 06/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.8 u1: % rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 432 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.78 u1: /mic l rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd
t0: [05:25:00 06/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 97 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 97 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd
t0: [06:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [06:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [07:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [06:00:00 06/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [07:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 80 vu: ml t0: [07:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [08:00:00 06/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 06/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 06/09/2012] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 06/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [08:00:00 06/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 06/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 06/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 06/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 06/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 06/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 10 st: NotStopd t0: [08:00:00 06/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 06/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 06/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/09/2012] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 06/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 06/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [08:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 06/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Loose st: NotStopd t0: [08:00:00 06/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [08:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 06/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 06/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 06/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [08:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [09:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [09:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [09:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [09:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [09:00:00 06/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [09:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [10:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [10:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 06/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [10:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [05:25:00 06/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 45 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 93 rs: Final st: NotStopd t0: [05:25:00 06/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [05:25:00 06/09/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU cg: 1663 v1: 284 rs: Final st: NotStopd
t0: [11:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [11:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 57 u1: BPM st: NotStopd t0: [11:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/09/2012] tf: [19:15:00 07/09/2012] dt: 1935 id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vu: ml nb: 1 t0: [11:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [11:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [11:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml
t0: [12:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [12:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml
t0: [08:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Gesturing st: NotStopd t0: [12:00:00 06/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 06/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [12:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Gesturing st: NotStopd t0: [12:00:00 06/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 06/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 06/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 06/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 06/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 06/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [12:00:00 06/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 06/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 10 st: NotStopd t0: [12:00:00 06/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 06/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [12:00:00 06/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 06/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Lumbar Puncture st: NotStopd t0: [12:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [12:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 06/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 06/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 06/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [08:00:00 06/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 06/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [13:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [13:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [13:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [13:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [13:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [13:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [13:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 80 vu: ml t0: [11:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [13:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [13:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 0 vu: ml t0: [13:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [14:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [14:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [14:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [14:00:00 06/09/2012] tf: [19:15:00 07/09/2012] dt: 1755 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [13:00:00 06/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [14:00:00 06/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [14:00:00 06/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 06/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [14:00:00 06/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 8 vu: ml t0: [14:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [14:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [15:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [15:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [15:00:00 06/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [15:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd
t0: [15:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [15:30:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: CPR Not Indicate st: NotStopd t0: [15:30:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:30:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:30:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:30:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [15:30:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [15:30:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [15:00:00 06/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [15:00:00 06/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 06/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 10 st: NotStopd t0: [15:00:00 06/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [15:00:00 06/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [16:00:00 06/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 06/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 06/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [16:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [16:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [16:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [16:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [16:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Gesturing st: NotStopd t0: [16:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 06/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 06/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 06/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [16:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 06/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd
t0: [17:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd
t0: [17:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [17:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [17:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [17:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [17:00:00 06/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [17:00:00 06/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 06/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [17:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [18:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [18:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [18:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [18:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [18:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [18:00:00 06/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [19:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [19:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [19:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [19:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [20:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 06/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 06/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 13 u1: points st: NotStopd t0: [20:00:00 06/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 06/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 06/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [20:00:00 06/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 06/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 06/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 06/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [20:00:00 06/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 06/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 06/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 06/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 06/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 06/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 06/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 06/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [20:00:00 06/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 06/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 06/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 06/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 06/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/09/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [20:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml
t0: [20:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [21:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [21:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [21:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [21:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [21:00:00 06/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 06/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [22:00:00 06/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 06/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 06/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 06/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 06/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [22:00:00 06/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 06/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 06/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [22:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [22:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 06/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 06/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 06/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [23:00:00 06/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 06/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 06/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 06/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [23:00:00 06/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [23:00:00 06/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [23:00:00 06/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 100 cv: 2500 ap: none t0: [23:00:00 06/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN pv: 30 cv: 260 ap: none
t0: [00:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [00:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 07/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [00:00:00 07/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 07/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 07/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 07/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 07/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 13 u1: points st: NotStopd t0: [00:00:00 07/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 07/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 07/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 07/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 07/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 07/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [00:00:00 07/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 07/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 07/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 07/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 07/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 07/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 07/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 07/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 07/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 07/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 07/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 07/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 07/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 07/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 07/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 07/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [00:00:00 07/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 07/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 07/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 07/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 07/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 07/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 07/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 07/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 07/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [00:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [00:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [01:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 07/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [02:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 07/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 07/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 07/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 07/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 07/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [02:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml t0: [02:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 07/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: StNurs cv: 0 ap: none t0: [23:00:00 07/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: StNurs cv: 0 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 440 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1530 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 900 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: StNurs cv: 2370 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: StNurs cv: -840 ap: none t0: [23:00:00 07/09/2012] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: StNurs cv: 2370 ap: none t0: [23:00:00 07/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: StNurs cv: 932 ap: none
t0: [03:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [04:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 07/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 07/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 07/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [05:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [05:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml t0: [04:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml t0: [05:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [05:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [00:00:00 07/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 07/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Verbal st: NotStopd t0: [04:00:00 07/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 07/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 07/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 07/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 07/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 07/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 07/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 07/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 07/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [04:00:00 07/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 07/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 07/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 07/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 07/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 07/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 07/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 07/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 07/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 07/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: Normal st: NotStopd t0: [04:00:00 07/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 07/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 07/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 07/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 07/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 07/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/09/2012] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [04:00:00 07/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:45:00 07/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.3 u1: % rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 419 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.91 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [04:45:00 07/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [06:00:00 07/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 07/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 07/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 07/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 07/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 07/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 07/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [06:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [06:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [08:00:00 07/09/2012] id: Arterial BP el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 07/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 07/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 07/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 07/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 07/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/09/2012] id: Communication el: 0 cu: MICU cg: RN v1: Gesturing st: NotStopd t0: [08:00:00 07/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/09/2012] id: Corneal Reflex R/L el: 0 cu: MICU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 07/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 07/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 07/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 07/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 07/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 07/09/2012] id: Height of Bed el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 07/09/2012] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 07/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/09/2012] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 07/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 07/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [08:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [08:00:00 07/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 07/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 07/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/09/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 07/09/2012] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 07/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/09/2012] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 07/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 07/09/2012] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 07/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 07/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 07/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 07/09/2012] id: Speech el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 07/09/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 07/09/2012] id: Stool Management el: 0 cu: MICU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 07/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 07/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 07/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 07/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 07/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 07/09/2012] id: multipodus boot el: 0 cu: MICU cg: RN v1: on L ft t0: [09:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 07/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [09:00:00 07/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 11 st: NotStopd t0: [09:00:00 07/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [09:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [08:00:00 07/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [08:00:00 07/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml t0: [08:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [09:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [09:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [09:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [10:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [10:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [10:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [11:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [11:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [12:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: StNurs v1: MICU st: NotStopd t0: [12:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: StNurs v1: Full Code st: NotStopd t0: [12:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: StNurs v1: Yes st: NotStopd t0: [12:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: StNurs v1: None st: NotStopd t0: [12:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: StNurs v1: None st: NotStopd t0: [12:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: StNurs v1: 69 u1: BPM st: NotStopd t0: [12:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: StNurs v1: Normal Sinus st: NotStopd t0: [12:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: StNurs v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: StNurs v1: 89.6667 u1: mmHg st: NotStopd t0: [12:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: StNurs v1: Universal st: NotStopd t0: [12:00:00 07/09/2012] id: SpO2 el: 0 cu: MICU cg: StNurs v1: 99 u1: % st: NotStopd t0: [12:00:00 07/09/2012] id: Temp. Site el: 0 cu: MICU cg: StNurs v1: Oral st: NotStopd t0: [12:00:00 07/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: StNurs v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 07/09/2012] id: Temperature F el: 0 cu: MICU cg: StNurs v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: StNurs v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: StNurs ai: 107 vo: 30 vu: ml t0: [12:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: StNurs ai: 189 vo: 10 vu: ml t0: [12:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: StNurs ai: 115 vo: 60 vu: ml t0: [12:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: StNurs vo: 250 vu: ml
t0: [23:00:00 07/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: StNurs cv: 190 ap: none
t0: [12:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [14:00:00 07/09/2012] id: multipodus boot el: 0 cu: MICU cg: RN v1: on rt t0: [14:00:00 07/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 07/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 07/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 07/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 07/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 07/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 07/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 07/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [14:00:00 07/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 07/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 07/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 07/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 07/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/09/2012] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 07/09/2012] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 115 vo: 120 vu: ml t0: [14:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [04:45:00 07/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Uric Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 53 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:45:00 07/09/2012] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd
t0: [17:00:00 07/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: StNurs vo: 200 vu: ml
dd: 2720 ds: 2 ld: PURE HYPERCHOLESTEROLEM dd: 4379 ds: 1 ld: CEREBROVASC DISEASE NOS
dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 56400 ds: 2 ld: UNSPECIFIED CONSTIPATION
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM
dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM
dd: 4011 ds: 1 ld: BENIGN HYPERTENSION
dd: 4011 ds: 1 ld: BENIGN HYPERTENSION